Joshua Ricciardone, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6351 Issued in AL

Practice address

5300 Overlook Rd
Mobile, AL 36618-2331

Phone

(251) 342-6672

Fax

(251) 342-6703

NPI assigned

Jul 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Ricciardone Family Dentistry

  • Dental Clinic/Center
  • Mobile, AL
  • NPI 1427526516
  NPD (past) Authorized official

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

{
    "created_epoch": "1309564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1235426834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 OVERLOOK RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182331",
            "telephone_number": "251-342-6672",
            "fax_number": "337-886-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 OVERLOOK RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182331",
            "telephone_number": "251-342-6672",
            "fax_number": "251-342-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDONE",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-02",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6351",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1862002",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhodes Medical, LLC
• Brandis Goodwin Rhodes, MS CCC SLP
• Hannah Rhodes
• Dawn Rene Rials, FNP
• Ricciardone Family Dentistry
• Tania Truter Ricciardone, D.M.D
• Holley Rice, PHARMD
• Jessic Noel Rice
• Meghan Ann Rice, MD
• Taylor Renee Rice

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.