Organization Active NPI

Carl C. Riccoboni, DDS, Inc

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1861543969
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28609 Issued in CA
Legal business name
CARL C. RICCOBONI, DDS, INC
Practice address
2500 Hospital Dr
Building 6
Mountain View, CA 94040-4106
Phone
(650) 968-3343
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. Carl C Riccoboni, DDSNPI 1518357805
Title
President
Phone
(650) 968-3343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28609 CA Primary

Addresses

Primary practice location

2500 Hospital Dr
Building 6
Mountain View, CA 94040-4106

Mailing address

2500 Hospital Dr
Building 6
Mountain View, CA 94040-4106
Phone (650) 968-3343

National Provider Directory

National Provider Directory

Locations

2500 Hospital Dr
Bldg 6
Mountain View, CA 94040
Phone (650) 888-1779

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1861543969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "BUILDING 6",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-968-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "BUILDING 6",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-968-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL C. RICCOBONI, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "RICCOBONI",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-968-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.