Jessica Beatriz Riccobono, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN24549 Issued in FL

Practice address

880 N Miami Beach Blvd
North Miami Beach, FL 33162-3701

Phone

(954) 681-2298

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1073152146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 POINCIANA DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271414",
            "telephone_number": "954-681-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N MIAMI BEACH BLVD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623701",
            "telephone_number": "954-681-2298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Old Denton Rd",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750061352",
            "country_code": "US",
            "telephone_number": "954-681-2298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 S Center St Ste 151",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142088",
            "country_code": "US",
            "telephone_number": "817-466-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCOBONO",
        "first_name": "JESSICA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35873",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN24549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.