Shane Austin Ricci, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0022884 Issued in TX

Practice address

5132 Village Creek Dr
Suite 400
Plano, TX 75093-5064

Phone

(972) 381-1888

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Dental, P.a.

  • General Practice Dentistry
  • Plano, TX
  • NPI 1508895418
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073724142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 BLUE BAY DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358574",
            "telephone_number": "210-912-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 VILLAGE CREEK DR",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935064",
            "telephone_number": "972-381-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "SHANE",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0022884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata L Rhodes, PMHNP-BC
• Richard D Rhodes Jr., MD
• Rhonda J. Merchant, M.D., P.a.
• Ilana Ribald
• Neltje Ribbens, MS, RDN, LDN
• Deeann Lynette Rice, OT
• Nedra L. Rice, MD
• Dionne Jezell Rich
• Justin Rich, MD
• Richard Bowman MD PA

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.