NPIMap

Organization Active NPI

Joseph M. Ricciardi, M.D.

  • Durable Medical Equipment & Medical Supplies
  • Berryville, AR
National Provider Identifier
1790064004
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
E1571 Issued in AR
Legal business name
JOSEPH M. RICCIARDI, M.D.
Practice address
408 Orchard Dr
Berryville, AR 72616-4320
Phone
(870) 423-3774
Fax
(870) 423-4670
NPI assigned
Aug 4, 2011
Organization subpart
Yes
Parent organization
JOSEPH M. RICCIARDI, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Joseph M. Ricciardi, M.D.NPI 1053389726
Title
Physician
Phone
(870) 423-3774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X E1571 AR Primary

Addresses

Primary practice location

408 Orchard Dr
Berryville, AR 72616-4320

Mailing address

408 Orchard Dr
Berryville, AR 72616-4320
Phone (870) 423-3774

National Provider Directory

National Provider Directory
Tax ID family
Joseph M Ricciardi MD2 organizations share this tax ID, including this one
Part of
Orthopaedic Sports Medicin

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1790064004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 ORCHARD DR",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164320",
            "telephone_number": "870-423-3774",
            "fax_number": "870-423-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ORCHARD DR",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164320",
            "telephone_number": "870-423-3774",
            "fax_number": "870-423-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. RICCIARDI, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH M. RICCIARDI, M.D.",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-423-3774",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "E1571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.