NPIMap

Organization Active NPI

Riccobene & Associates CCC, DDS, PC

Doing business as Riccobene Associates Family Dentistry Columbia

  • Dentist
  • Columbia, SC
National Provider Identifier
1700569910
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RICCOBENE & ASSOCIATES CCC, DDS, PC
Doing business as
Riccobene Associates Family Dentistry Columbia
Practice address
9007 Two Notch Rd Ste B
Columbia, SC 29223-5834
Phone
(803) 212-0387
Fax
(839) 895-3799
NPI assigned
Aug 14, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Michael Riccobene
Title
Owner
Phone
(855) 417-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

9007 Two Notch Rd Ste B
Columbia, SC 29223-5834

Mailing address

PO Box 749625
Atlanta, GA 30374-9625
Phone (803) 212-0387

Other names 1

  • Riccobene Associates Family Dentistry Columbia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riccobene Associates CCC DDS PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

9007 Two Notch Rd
Ste B
Columbia, SC 29223
Phone (803) 212-0387

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1700569910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749625",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749625",
            "telephone_number": "803-212-0387",
            "fax_number": "839-895-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 TWO NOTCH RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235834",
            "telephone_number": "803-212-0387",
            "fax_number": "839-895-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES CCC, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "RICCOBENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-417-4226"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riccobene Associates Family Dentistry Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 29, 2023; 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.