Individual provider Active NPI

Ryan Alexander Rickards, DDS

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1528794302
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012763 Issued in AZ
Practice address
4501 N 7TH St
Phoenix, AZ 85014-3804
Phone
(858) 999-7290
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS108908 CA
General Practice Dentistry 1223G0001X D012763 AZ Primary
General Practice Dentistry 1223G0001X 7860 NE

Addresses

Primary practice location

4501 N 7TH St
Phoenix, AZ 85014-3804

Mailing address

80 N McQueen Rd Apt 3056
Gilbert, AZ 85233-5059
Phone (858) 999-7290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20231019001400 CA Order and Referring Only - DentistPractitioner - Dentist 5496101909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS108908CAMDGeneral Practice Dentistry
7860NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Watanabe Dental Corporation General Practice PastSince Jul 23, 2023 Accepting new patients
Unmc College of Dentistry PastSince Jul 1, 2022 Accepting new patients
Rolling Hills Clinic Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1528794302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N MCQUEEN RD APT 3056",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335059",
            "telephone_number": "858-999-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143804",
            "telephone_number": "858-999-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "RYAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS108908",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012763",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.