Michael Riccobene, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6718 Issued in NC

Practice address

5638 Hwy 42
Ste 214
Garner, NC 27529

Phone

(919) 661-6161

NPI assigned

Oct 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Riccobene & Associates Liii, DDS, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Leland, NC
  • NPI 1336898675
  NPD Authorized official
• Riccobene & Associates Xvi, DDS, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garner, NC
  • NPI 1245600931
  NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1821171083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LUMINARY LANE",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "27592",
            "telephone_number": "919-577-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 HWY 42",
            "address_2": "STE 214",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-661-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCOBENE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012R7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riccobene & Associates I, DDS, P.a.
• Riccobene & Associates Xiii, DDS, P.a.
• Riccobene & Associates Xiii, DDS, P.a.
• Riccobene & Associates Xvi, DDS, P.a.
• Riccobene & Associates Xxxii, DDS, PA
• Toby Richardson
• Mary Riddle
• Gentry Ridgeway, RN
• Melissa Rini, MS, OTR/L
• Ronnie Ibrahim Rizek, LCMHC-A

• General Practice Dentistry in Garner, NC
• Providers in Garner, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.