Active NPI
Ricardo Rios I, DDS
- General Practice Dentistry
- Newburgh, NY
National Provider Identifier
1720008733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 047132
- Practice address
- 5392 Route 9W
Newburgh, NY 12550-1323 - Phone
- (845) 565-4150
- Fax
- (845) 561-9231
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 047132 | NY | Primary |
Addresses
Primary practice location
5392 Route 9W
Newburgh, NY 12550-1323
Mailing address
5392 Route 9W
Newburgh, NY 12550-1323
Phone (845) 565-4150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047132 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150512000019 | NY | Order and Referring Only - Dentist | 2062731177 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720008733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5392 ROUTE 9W",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501323",
"telephone_number": "845-565-4150",
"fax_number": "845-561-9231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5392 ROUTE 9W",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501323",
"telephone_number": "845-565-4150",
"fax_number": "845-561-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "RICARDO",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "047132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "047132",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.