NPIMap

Organization Active NPI

Riccobene & Associates Ccii, DDS, PC

Doing business as Commonwealth Specialty - Charlottesville

  • Endodontics
  • Charlottesville, VA
National Provider Identifier
1235008509
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
RICCOBENE & ASSOCIATES CCII, DDS, PC
Doing business as
Commonwealth Specialty - Charlottesville
Practice address
1658 State Farm Blvd Ste 103
Charlottesville, VA 22911-3563
Phone
(434) 202-3520
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Michael Riccobene
Title
Owner
Phone
(910) 853-6172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1658 State Farm Blvd Ste 103
Charlottesville, VA 22911-3563

Mailing address

PO Box 749632
Atlanta, GA 30374-9632
Phone (434) 202-3520

Other names 1

  • Commonwealth Specialty - Charlottesville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Specialty - Charlottesville7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1658 State Farm Blvd
Ste 103
Charlottesville, VA 22911
Phone (434) 202-3520

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1235008509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749632",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749632",
            "telephone_number": "434-202-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 STATE FARM BLVD STE 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113563",
            "telephone_number": "434-202-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES CCII, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "RICCOBENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-853-6172"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Specialty - Charlottesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.