Ross Andrew Rickoff, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN014541 Issued in GA

Practice address

9590 Medlock Bridge Rd
Suite G
Duluth, GA 30097-4443

Phone

(770) 232-5112

Fax

(770) 232-5115

NPI assigned

Jul 9, 2010

Last updated

Aug 13, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Georgia Endodontic Specialists

  dba North Georgia Endodontic Specialists

  • Endodontics
  • Duluth, GA
  • NPI 1174794002
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1841502515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BRIDGE RD",
            "address_2": "SUITE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974443",
            "telephone_number": "770-232-5112",
            "fax_number": "770-232-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BRIDGE RD",
            "address_2": "SUITE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974443",
            "telephone_number": "770-232-5112",
            "fax_number": "770-232-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKOFF",
        "first_name": "ROSS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4713",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN014541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Richardson
• Susan A Richardson, CFNP
• Keba Janine Richmond Green, LAPC, NCC
• Rick Kilmer PHD PC (Rick Kilmer, Ph.D.)
• Bruce D Rickoff, DDS
• Rielles Pharmacy LLC
• Rielles Pharmacy LLC (Rielles Pharmacy llc LTC)
• Vanessa Theresa Rigaud, M.D.
• William Riley, PHARMD
• Vanessa Risingmoon

• Endodontics in Duluth, GA
• Providers in Duluth, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.