Robert Ricketts, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4109 Issued in NC

Practice address

122 Wilkesboro Ave
North Wilkesboro, NC 28659-4218

Phone

(336) 667-4143

NPI assigned

Dec 1, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert F Ricketts, DDS, PA

  • General Practice Dentistry
  • North Wilkesboro, NC
  • NPI 1518081504
  NPD (past) Authorized official
• T. Keaton Mash, DMD, PLLC

  • Dental Clinic/Center
  • North Wilkesboro, NC
  • NPI 1205328119
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1497152847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WILKESBORO AVE",
            "address_2": "P.O. BOX 157",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WILKESBORO AVE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594218",
            "telephone_number": "336-667-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Morgan Makenzie Rice, OTR/L
• Jon M Richardson, HEARING SPECIALIST
• Lea A Richardson
• Casey Riddick
• John Joseph Riedel Jr., C.R.N.A.
• Callie Ryann Rieder
• Shauna Handy Riggans
• Riverside Medical Associates, PLLC

• Dentist in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.