NPIMap

Organization Active NPI

Riccobene & Associates CC, DDS, PC

Doing business as Commonwealth Dentistry - Kenbridge

  • General Practice Dentistry
  • Kenbridge, VA
National Provider Identifier
1598429680
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICCOBENE & ASSOCIATES CC, DDS, PC
Doing business as
Commonwealth Dentistry - Kenbridge
Practice address
202 E 5TH Ave
Kenbridge, VA 23944-2040
Phone
(434) 676-8023
NPI assigned
Oct 26, 2021
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Michael Riccobene
Title
Ceo
Phone
(910) 853-6172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

202 E 5TH Ave
Kenbridge, VA 23944-2040

Mailing address

PO Box 749632
Atlanta, GA 30374-9632
Phone (919) 439-3331

Other names 1

  • Commonwealth Dentistry - Kenbridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riccobene Associates CC DDS PC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

3434 Kildaire Farm Rd
Ste 350
Cary, NC 27518

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1598429680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749632",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749632",
            "telephone_number": "919-439-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 5TH AVE",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239442040",
            "telephone_number": "434-676-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES CC, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "RICCOBENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-853-6172"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Dentistry - Kenbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.