Organization Active NPI

Richard C. Ribeiro

  • Dental Clinic/Center
  • Clarksville, TN
National Provider Identifier
1457550006
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7505 Issued in TN
Legal business name
RICHARD C. RIBEIRO
Practice address
2305 Rudolphtown Road
Clarksville, TN 37043
Phone
(931) 645-6362
Fax
(931) 645-6369
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Richard C Ribeiro, DDSNPI 1972592269
Title
Dentist
Phone
(931) 645-6362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7505 TN Primary

Addresses

Primary practice location

2305 Rudolphtown Road
Clarksville, TN 37043

Mailing address

2305 Rudolphtown Road
Clarksville, TN 37043
Phone (931) 645-6362

Other identifiers 1

IdentifierTypeStateIssuer
7505OtherTNDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

2305 Rudolphtown Rd
Clarksville, TN 37043
Phone (931) 645-6362

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1457550006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 RUDOLPHTOWN ROAD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-645-6362",
            "fax_number": "931-645-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 RUDOLPHTOWN ROAD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-645-6362",
            "fax_number": "931-645-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. RIBEIRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "RIBEIRO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "931-645-6362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "7505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7505",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.