Active NPI
Christopher Mark Ricker, D.M.D.
- Periodontics
- Columbia, SC
National Provider Identifier
1629515820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10739
- Practice address
- 10 Medical Park
Dental Department
Columbia, SC 29203 - Phone
- (803) 434-6567
- Fax
- (803) 434-6299
- NPI assigned
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10739 | NC | Primary |
Addresses
Primary practice location
10 Medical Park
Dental Department
Columbia, SC 29203
Mailing address
9920 Kincey Ave Ste 280
Huntersville, NC 28078-2400
Phone (704) 322-3000
Other practice location 1
9920 Kincey Ave Ste 280
Huntersville, NC 28078-2400
Phone (704) 322-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10739 | NC | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1629515820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 KINCEY AVE STE 280",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280782400",
"telephone_number": "704-322-3000",
"fax_number": "704-755-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEDICAL PARK",
"address_2": "DENTAL DEPARTMENT",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-6567",
"fax_number": "803-434-6299"
}
],
"practiceLocations": [
{
"address_1": "9920 Kincey Ave Ste 280",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280782400",
"country_code": "US",
"telephone_number": "704-322-3000",
"fax_number": "704-755-6533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKER",
"first_name": "CHRISTOPHER",
"middle_name": "MARK",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "10739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.