Active NPI
Daniel M Ricci M.D. P.a.
- Internal Medicine Physician
- Wallace, NC
National Provider Identifier
1689673618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DANIEL M RICCI M.D. P.A.
- Practice address
- 207 E Murphy St
Wallace, NC 28466-1946 - Phone
- (910) 285-4100
- Fax
- (910) 285-4766
- NPI assigned
- Jul 20, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Michael Ricci, M.D.
- Title
- President
- Phone
- (910) 285-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NC | Primary |
Addresses
Primary practice location
207 E Murphy St
Wallace, NC 28466-1946
Mailing address
PO Box 968
Wallace, NC 28466-0968
Phone (910) 285-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017CT | Other | NC | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
207 E Murphy St
Wallace, NC 28466
Phone (910) 285-4100
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Wallace, NC
- NPI 1528067519
-
- Physician Assistant
- Wallace, NC
- NPI 1033735576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1689673618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 968",
"city": "WALLACE",
"state": "NC",
"postal_code": "284660968",
"telephone_number": "910-285-4100",
"fax_number": "910-285-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E MURPHY ST",
"city": "WALLACE",
"state": "NC",
"postal_code": "284661946",
"telephone_number": "910-285-4100",
"fax_number": "910-285-4766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL M RICCI M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2022-07-21",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "RICCI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-285-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "017CT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wallace, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.