Ryan Dira Ricafort, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

20795 Issued in FL

Practice address

6043 Winthrop Commerce Ave Ste 101
Riverview, FL 33578-4272

Phone

(904) 254-2652

NPI assigned

Apr 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neighborhood Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Riverview, FL
  • NPI 1265216733
  NPD Authorized official

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1740547736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W PALMIRA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE STE 101",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784272",
            "telephone_number": "904-254-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICAFORT",
        "first_name": "RYAN",
        "middle_name": "DIRA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "20795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle Reyes
• Melissa Michelle Reyes, APRN
• Latrista Reynolds, FNP
• Sandra Mae Reynolds, PMHNP-BC
• Brandi June Rhody, MSN, APRN, FNP-C
• Laura Elizabeth Richardson
• Lindsey Elizabeth Richardson, DPT
• Yanara Richardson
• Jeffry Rima, DO
• Jessica Rios-Flores, LCSW-R

• Orthodontics and Dentofacial Orthopedics Dentistry in Riverview, FL
• Providers in Riverview, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.