Ricciardi Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

RICCIARDI DENTAL CORPORATION

Practice address

8004 Haven Ave
Suite 200
Rancho Cucamonga, CA 91730

Phone

(909) 980-6252

Fax

(909) 980-6054

NPI assigned

Sep 17, 2021

Last updated

Sep 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mario James Ricciardi, DMDNPI 1225257736

Title

Owner

Phone

(909) 980-6252

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mario James Ricciardi, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
  • NPI 1225257736
  NPD (past) Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1376213546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 HAVEN AVE",
            "address_2": "SUITE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-816-9815",
            "fax_number": "909-980-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 HAVEN AVE",
            "address_2": "SUITE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-980-6252",
            "fax_number": "909-980-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCIARDI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-980-6252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Lynn Rhetta, M.D.
• Bora Rhim, DPM
• Cory Rhiner
• James I Rho, M.D.
• Julie Riad
• Mario James Ricciardi, DMD
• Charles Richards
• Tenaya Richards
• Jasmine Shanice Richardson
• Miss-Kimille Michela Richardson, AMFT, APCC

• Orthodontics and Dentofacial Orthopedics Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.