Active NPI
Mark Allen Ritchie, D.M.D.
- Dentist
- Richland Center, WI
National Provider Identifier
1851754899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001334 - 15
- Practice address
- 1313 W Seminary St
200
Richland Center, WI 53581-2067 - Phone
- (608) 647-8868
- NPI assigned
- Mar 29, 2016
- Sex
- Male
- 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 | 1001334 - 15 | WI | Primary |
Addresses
Primary practice location
1313 W Seminary St
200
Richland Center, WI 53581-2067
Mailing address
33636 Valley LN
Lone Rock, WI 53556-4168
Phone (715) 401-1999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001334 - 15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1851754899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33636 VALLEY LN",
"city": "LONE ROCK",
"state": "WI",
"postal_code": "535564168",
"telephone_number": "715-401-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W SEMINARY ST",
"address_2": "200",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535812067",
"telephone_number": "608-647-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-29",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001334 - 15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland Center, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.