NPIMap

Organization Active NPI

Paul a Ricchetti Jr DDS MSCD Inc

  • Periodontics
  • Mayfield Heights, OH
National Provider Identifier
1841596749
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
14143 Issued in OH
Legal business name
PAUL A RICCHETTI JR DDS MSCD INC
Practice address
5825 Landerbrook Dr
Suite 221
Mayfield Heights, OH 44124-6532
Phone
(440) 461-6008
Fax
(440) 461-9282
NPI assigned
Feb 10, 2011
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Paul A Ricchetti Jr., DDSNPI 1841368164
Title
President and Secretary
Phone
(440) 461-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 14143 OH Primary

Addresses

Primary practice location

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

Mailing address

5825 Landerbrook Dr
Suite 221
Mayfield Heights, OH 44124-6532
Phone (440) 461-6008

National Provider Directory

National Provider Directory

Locations

6801 Mayfield Rd
Ste 239
Mayfield Heights, OH 44124
Phone (440) 461-6008

5825 Landerbrook Dr
Ste 221
Mayfield Hts, OH 44124
Phone (440) 461-6008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1841596749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LANDERBROOK DR",
            "address_2": "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": "SUITE 221",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246532",
            "telephone_number": "440-461-6008",
            "fax_number": "440-461-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A RICCHETTI JR DDS MSCD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "RICCHETTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "440-461-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "14143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.