Frederick K Ricker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1721 Issued in TN

Practice address

1719 Lafayette St
Greeneville, TN 37745-4215

Phone

(423) 639-3861

Fax

(423) 639-3803

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fred K Ricker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871645804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 LAFAYETTE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454215",
            "telephone_number": "423-639-3861",
            "fax_number": "423-639-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 LAFAYETTE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454215",
            "telephone_number": "423-639-3861",
            "fax_number": "423-639-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKER",
        "first_name": "FREDERICK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "1721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "RICKER",
            "middle_name": "K",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amber Dyer Rice, PTA
• Stephanie Nicole Rice, PHARM.D.
• Alisha Richards, NP
• Jordan Kyle Richardson
• Alli N Rickels, NP
• Hannah Rebecca Ricker, NA
• Lisa Dawn Ricker, PTA
• Nicole R Riddle, MA
• Hannah Ridley, BA
• Christina Riley

• Dentist in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.