Organization Active NPI

Anthony Ricci P C

  • Sports Physician Chiropractor
  • Annapolis, MD
National Provider Identifier
1043338205
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1542 PT Issued in MD
Legal business name
ANTHONY RICCI P C
Practice address
1610 West St
Suite 110
Annapolis, MD 21401-4055
Phone
(410) 263-6331
Fax
(410) 280-9886
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony T. Ricci, D.C.NPI 1801906334
Title
President/Chiropractor
Phone
(410) 263-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1542 PT MD Primary

Addresses

Primary practice location

1610 West St
Suite 110
Annapolis, MD 21401-4055

Mailing address

1610 West St
Suite 110
Annapolis, MD 21401-4055
Phone (410) 263-6331

Other identifiers 8

IdentifierTypeStateIssuer
293065600OtherMDUS DEPT LABOR PROV. ID
292468OtherMDALLIANCE PROVIDER ID
1623373OtherMDUHC PROVIDER ID
086650000OtherMDPREF HEALTH NET PROV. ID
6074299OtherMDCIGNA PROVIDER ID
LP84ANOtherMDCAREFIRST BCBS PROV. ID
5856209OtherMDAETNA PROVIDER ID
R6170002OtherMDFEDERAL BCBS PROV. ID

Other names 1

  • Annapolis Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000983 MD Part B Supplier - Clinic/Group Practice 8426183369 Receives reassigned benefits from 2 practitioners
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

1610 West St
Ste 110
Annapolis, MD 21401
Phone (410) 263-6331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1043338205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-263-6331",
            "fax_number": "410-280-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-263-6331",
            "fax_number": "410-280-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY RICCI P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "410-263-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "1542 PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR PROV. ID",
            "identifier": "293065600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PROVIDER ID",
            "identifier": "292468",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER ID",
            "identifier": "1623373",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF HEALTH NET PROV. ID",
            "identifier": "086650000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "6074299",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS PROV. ID",
            "identifier": "LP84AN",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5856209",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS PROV. ID",
            "identifier": "R6170002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annapolis Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.