Peter Lawrence Ricciardi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5078 Issued in NV

Practice address

1055 North Hills Blvd
Reno, NV 89506

Phone

(775) 677-1055

Fax

(775) 677-1081

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 6, 2017 through Jun 6, 2027

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.

• Arete Dental LLC

  • General Practice Dentistry
  • Reno, NV
  • NPI 1235556770
  NPD (past)
• Stead Dental Clinic

  • General Practice Dentistry
  • Reno, NV
  • NPI 1952372708
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083737829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 AUTUMN RIDGE CIRCLE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-229-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 NORTH HILLS BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89506",
            "telephone_number": "775-677-1055",
            "fax_number": "775-677-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "PETER",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah J Ribnick, PHD
• Martina Grace Ricafort, PT
• Ricardo Garcia MD PC
• Ricardo Garcia, MD, PC
• Ricardo Gonzalez MD Family Practice PC
• Luann Ricco
• Stacey Renee Rice, LCSW
• Bailey Rich, MA, LADC-I
• Kim Rich, MFT
• Philip Andrew Rich, M.D.

• General Practice Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Dentistry in Nevada

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.