Active NPI
Andrea Michelle Riccobono
- Dentist
- Boston, MA
National Provider Identifier
1851287254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10001025
- Practice address
- 586 Tremont St
Boston, MA 02118-1659 - Phone
- (617) 267-3334
- NPI assigned
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10001025 | MA | Primary |
Addresses
Primary practice location
586 Tremont St
Boston, MA 02118-1659
Mailing address
2465 Poinciana Dr
Weston, FL 33327-1414
Phone (954) 348-1616
Other practice location 1
1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-6828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph P Nore DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Boston, MA
- NPI 1083759922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1851287254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 POINCIANA DR",
"city": "WESTON",
"state": "FL",
"postal_code": "333271414",
"telephone_number": "954-348-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181659",
"telephone_number": "617-267-3334"
}
],
"practiceLocations": [
{
"address_1": "1 Kneeland St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111527",
"country_code": "US",
"telephone_number": "617-636-6828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICCOBONO",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-13",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10001025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.