Paul A Ricchetti Jr., DDS MSCD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

14143 Issued in OH

Practice address

5825 Landerbrook Dr
Landerbrook Dental Professionals BLDG Suite 221
Mayfield Heights, OH 44124-6532

Phone

(440) 461-6008

Fax

(440) 461-9282

NPI assigned

Dec 4, 2006

Last updated

Jan 26, 2009By the provider in NPPES

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)

Enrolled

State licenses

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

• Paul a Ricchetti Jr DDS MSCD Inc

  • Periodontics
  • Mayfield Heights, OH
  • NPI 1841596749
  Authorized official Same address or phone

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1841368164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LANDERBROOK DR",
            "address_2": "LANDERBROOK DENTAL PROFESSIONALS SUITE 221",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246532",
            "telephone_number": "440-461-6008",
            "fax_number": "440-461-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 LANDERBROOK DR",
            "address_2": "LANDERBROOK DENTAL PROFESSIONALS BLDG SUITE 221",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246532",
            "telephone_number": "440-461-6008",
            "fax_number": "440-461-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCHETTI",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DDS MSCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "14143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tracey Jean Richnavsky

• Periodontics in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.