Organization Active NPI

Louis a. Riccardi Ddspc

  • General Practice Dentistry
  • Americus, GA
National Provider Identifier
1174722037
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7795 Issued in GA
Legal business name
LOUIS A. RICCARDI DDSPC
Practice address
1106 Fetner Dr
Americus, GA 31709-3774
Phone
(229) 294-2224
Fax
(229) 924-4452
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Louis Allen Riccardi, D.D.S.
Title
President
Phone
(229) 924-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7795 GA Primary

Addresses

Primary practice location

1106 Fetner Dr
Americus, GA 31709-3774

Mailing address

PO Box 336
Americus, GA 31709-0336
Phone (229) 924-2224

National Provider Directory

National Provider Directory

Locations

1106 Fetner Dr
Americus, GA 31709
Phone (229) 294-2224

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1174722037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317090336",
            "telephone_number": "229-924-2224",
            "fax_number": "229-924-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 FETNER DR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093774",
            "telephone_number": "229-294-2224",
            "fax_number": "229-924-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS A. RICCARDI DDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "RICCARDI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-924-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.