Active NPI
James Ricke, DMD
- General Practice Dentistry
- Simpsonville, SC
National Provider Identifier
1417625443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10114
- Practice address
- 330 Harrison Bridge Rd
Simpsonville, SC 29680-7133 - Phone
- (864) 962-6671
- NPI assigned
- Sep 3, 2021
- Last updated
- Aug 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10114 | SC | Primary |
Addresses
Primary practice location
330 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Mailing address
110 Joseph Mathis Way
Greenville, SC 29607-4508
Phone (904) 861-4903
Other practice location 1
330 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone (864) 962-6671
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10114 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tylan Creek Family Dentistry | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Simpsonville, SC
- NPI 1891890315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1417625443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 JOSEPH MATHIS WAY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074508",
"telephone_number": "904-861-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 HARRISON BRIDGE RD",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807133",
"telephone_number": "864-962-6671"
}
],
"practiceLocations": [
{
"address_1": "330 Harrison Bridge Rd",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296807133",
"country_code": "US",
"telephone_number": "864-962-6671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKE",
"first_name": "JAMES",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-03",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
- Riccobene & Associates CCC, DDS, PC (Palms Dentistry Simpsonville at Riccobene)
- Pamela Rice
- Richard C Zatcoff DPM (Upstate Podiatry)
- Robert W Richards Jr., M.D.
- Lisa Denise Richardson, LISW CP
- Adam Ridgdell, PT
- David A Rimmer, DC
- Patricia C. Riordan, LISW-CP
- April L. Rivers, APRN
- Caralise Roach, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.