Nicole Marie Ricart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26348 Issued in FL

Practice address

5064 Annunciation Cir
Ave Maria, FL 34142-9671

Phone

(239) 919-6930

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

Yes

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.

• Ave Maria Dentistry

  • Dental Clinic/Center
  • Ave Maria, FL
  • NPI 1679982243
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 11, 2025 through Apr 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (1 of 2)

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2021.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1417520875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5064 ANNUNCIATION CIR",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429671",
            "telephone_number": "239-919-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5064 ANNUNCIATION CIR",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429671",
            "telephone_number": "239-919-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICART",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ave Maria, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.