Ricardo Alberto Cuevas, D.D.S.
Individual provider Active NPI General Practice Dentistry · Colchester, CT
NPI 1619001179 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1619001179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9177 (CT)
- Practice address
- 151 Broadway St
Colchester, CT 06415-1056 - Phone
- (860) 537-1444
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220201000441 | CT | Order and Referring Only - Dentist |
2860885647 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9177 | CT | Yes |
Addresses
Primary practice location
151 Broadway St
Colchester, CT 06415-1056
Mailing address
151 Broadway St
Colchester, CT 06415-1056
Phone (860) 537-1444
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All providers in Colchester, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.