NPIMap

Organization Active NPI

Riccobene & Associates CCC, DDS, PC

Doing business as Riccobene & Associates Family Dentistry - Rock Hill

  • Dentist
  • Rock Hill, SC
National Provider Identifier
1730862947
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 - Rock Hill
Practice address
2391 Dave Lyle Blvd Unit 101
Rock Hill, SC 29730-8238
Phone
(803) 992-8283
Fax
(864) 729-3757
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
Ceo
Phone
(855) 417-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2391 Dave Lyle Blvd Unit 101
Rock Hill, SC 29730-8238

Mailing address

PO Box 749625
Atlanta, GA 30374-9625
Phone (803) 992-8283

Other names 1

  • Riccobene & Associates Family Dentistry - Rock Hill 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1730862947",
    "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": "803-992-8283",
            "fax_number": "864-729-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 DAVE LYLE BLVD UNIT 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297308238",
            "telephone_number": "803-992-8283",
            "fax_number": "864-729-3757"
        }
    ],
    "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": "CEO",
        "authorized_official_telephone_number": "855-417-4226"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riccobene & Associates Family Dentistry - Rock Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, 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.