Active NPI
Steve Ricci, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Johns Creek, GA
National Provider Identifier
1376699652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11908
- Practice address
- 10475 Medlock Bridge Rd
Suite 114
Johns Creek, GA 30097-4433 - Phone
- (678) 417-9848
- Fax
- (678) 417-9694
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11908 | GA | Primary |
Addresses
Primary practice location
10475 Medlock Bridge Rd
Suite 114
Johns Creek, GA 30097-4433
Mailing address
10475 Medlock Bridge Rd
Suite 114
Johns Creek, GA 30097-4433
Phone (678) 417-9848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11908 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven C. Ricci, D.D.S., M.S., P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Johns Creek, GA
- NPI 1952409401
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1376699652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10475 MEDLOCK BRIDGE RD",
"address_2": "SUITE 114",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300974433",
"telephone_number": "678-417-9848",
"fax_number": "678-417-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10475 MEDLOCK BRIDGE RD",
"address_2": "SUITE 114",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300974433",
"telephone_number": "678-417-9848",
"fax_number": "678-417-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCI",
"first_name": "STEVE",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "11908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.