NPIMap

Organization Active NPI

Robert F Ricketts, DDS, PA

  • General Practice Dentistry
  • North Wilkesboro, NC
National Provider Identifier
1518081504
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4109 Issued in NC
Legal business name
ROBERT F RICKETTS, DDS, PA
Practice address
122 Wilkesboro Ave
North Wilkesboro, NC 28659-4218
Phone
(336) 667-4143
NPI assigned
Mar 17, 2007
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Robert F Ricketts, DDSNPI 1497152847
Title
President
Phone
(336) 667-4143

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
General Practice Dentistry 1223G0001X 4109 NC Primary

Addresses

Primary practice location

122 Wilkesboro Ave
North Wilkesboro, NC 28659-4218

Mailing address

122 Wilkesboro Ave
P.O. Box 157
North Wilkesboro, NC 28659-4218
Phone (336) 667-4143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1518081504",
    "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",
            "telephone_number": "336-667-4143"
        },
        {
            "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": {
        "organization_name": "ROBERT F RICKETTS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-667-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.