Tania Truter Ricciardone, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6350 Issued in AL

Practice address

2727 Pleasant Valley Rd
Mobile, AL 36606-2162

Phone

(251) 473-5705

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tania Truter Ricciardone Other name

Medicare fee-for-service enrollment

Enrolled in LA

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

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.

• Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Crowley, LA
  • NPI 1336383033
  NPD (past)
• Swla Center for Health Services

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1366111791
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1598053639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PADDOCK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321117",
            "telephone_number": "225-678-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 PLEASANT VALLEY RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062162",
            "telephone_number": "251-473-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 John F Kennedy Dr",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "LA",
            "postal_code": "705263264",
            "country_code": "US",
            "telephone_number": "337-439-9983",
            "fax_number": "337-310-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCIARDONE",
        "first_name": "TANIA",
        "middle_name": "TRUTER",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6199",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861995",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "RICCIARDONE",
            "middle_name": "TRUTER",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandis Goodwin Rhodes, MS CCC SLP
• Hannah Rhodes
• Dawn Rene Rials, FNP
• Ricciardone Family Dentistry
• Joshua Ricciardone, DMD
• Holley Rice, PHARMD
• Jessic Noel Rice
• Meghan Ann Rice, MD
• Taylor Renee Rice
• Rich Therapy LLC

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.