Individual provider Active NPI

Daniel F Ritchey, DMD, MSD

  • Periodontics
  • Cincinnati, OH
National Provider Identifier
1235796988
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10416 Issued in KY
Practice address
3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399
Phone
(513) 898-1194
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10416 KY
Periodontics 1223P0300X 30.025782 OH
Periodontics 1223P0300X 10416 KY Primary

Addresses

Primary practice location

3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399

Mailing address

156 Camp Creek Way
Georgetown, KY 40324-8026
Phone (513) 257-9898

Other practice location 1

107 Frazier Ct Ste 1D
Georgetown, KY 40324-9026
Phone (502) 570-5700

Other practice location 2

9031 US Highway 42 Ste A
Union, KY 41091-7196
Phone (859) 403-3382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20191015002150 OH Order and Referring Only - DentistPractitioner - Dentist 0840521357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10416KYMDPeriodontist
30.025782OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists at Hyde Park Plaza, PC, Inc Dentist PastSince May 26, 2024 Accepting new patients
Springdale Modern Dentistry, PC, Inc. Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1235796988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CAMP CREEK WAY",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248026",
            "telephone_number": "513-257-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 PAXTON AVE STE 12A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092399",
            "telephone_number": "513-898-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Frazier Ct Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249026",
            "country_code": "US",
            "telephone_number": "502-570-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9031 US Highway 42 Ste A",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "KY",
            "postal_code": "410917196",
            "country_code": "US",
            "telephone_number": "859-403-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITCHEY",
        "first_name": "DANIEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10416",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.025782",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "10416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.