Organization Active NPI

Riccobene & Associates I, DDS, P.a.

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1740849744
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICCOBENE & ASSOCIATES I, DDS, P.A.
Doing business as
Riccobene Associates Family Dentistry - Wilmington Porters Neck
Riccobene Associates Family Dentistry- Porters Neck
Practice address
8201 Market St
Wilmington, NC 28411-9389
Phone
(910) 795-1287
Fax
(833) 228-5254
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 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
(910) 853-6172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8201 Market St
Wilmington, NC 28411-9389

Mailing address

PO Box 749625
Atlanta, GA 30374-9625
Phone (919) 585-5205

Other names 2

  • Riccobene Associates Family Dentistry - Wilmington Porters Neck Doing business as
  • Riccobene Associates Family Dentistry- Porters Neck Doing business as

National Provider Directory

National Provider Directory

Locations

8203 Market St
Bldg B
Wilmington, NC 28411
Phone (910) 795-1287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1740849744",
    "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": "919-585-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119389",
            "telephone_number": "910-795-1287",
            "fax_number": "833-228-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES I, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "RICCOBENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-853-6172"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riccobene Associates Family Dentistry - Wilmington Porters Neck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riccobene Associates Family Dentistry - Wilmington Porters Neck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riccobene Associates Family Dentistry- Porters Neck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.