NPIMap

Organization Active NPI

Riccobene & Associates CC, DDS, PC

Doing business as Commonwealth Dentistry - Palmyra

  • General Practice Dentistry
  • Palmyra, VA
National Provider Identifier
1326701764
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICCOBENE & ASSOCIATES CC, DDS, PC
Doing business as
Commonwealth Dentistry - Palmyra
Practice address
40 Joshua LN
Palmyra, VA 22963-6208
Phone
(434) 589-5327
NPI assigned
Oct 21, 2021
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

40 Joshua LN
Palmyra, VA 22963-6208

Mailing address

PO Box 749632
Atlanta, GA 30374-9632
Phone (919) 585-5205

Other names 1

  • Commonwealth Dentistry - Palmyra Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riccobene Associates CC DDS PC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

40 Joshua Ln
Palmyra, VA 22963
Phone (434) 589-5327

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1326701764",
    "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": "919-585-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JOSHUA LN",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229636208",
            "telephone_number": "434-589-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES CC, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "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": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Dentistry - Palmyra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmyra, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.