Individual provider Active NPI

Steve Ricci, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johns Creek, GA
National Provider Identifier
1376699652
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11908 Issued in GA
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

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11908GAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.