Individual provider Active NPI

Alyssa Gutierrez Ricci, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Doral, FL
National Provider Identifier
1982120135
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0442000303 Issued in VA
Practice address
7950 NW 53Rd St Unit 126-127
Doral, FL 33166-4653
Phone
(305) 847-4224
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0442000303 VA Primary

Addresses

Primary practice location

7950 NW 53Rd St Unit 126-127
Doral, FL 33166-4653

Mailing address

4320 NW 80TH Ave
Doral, FL 33166-5694
Phone (305) 773-8035

Other practice location 1

520 N 12th St # 980566
Richmond, VA 23298-5064
Phone (804) 828-0843

Other practice location 2

16371 N Kendall Dr
Miami, FL 33196-4942
Phone (305) 459-3192

Other practice location 3

2870 NE 8th St
Homestead, FL 33033-5695
Phone (305) 547-8398

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

LicenseStateTypeSpecialty
0442000303VAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ricci Orthodontic Studio LLC Orthodontics and Dentofacial Orthopedics CurrentSince Feb 12, 2023 Accepting new patients

Locations

7950 NW 53rd St
Unit 126127
Doral, FL 33166
Phone (305) 847-4224

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.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1982120135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 NW 80TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665694",
            "telephone_number": "305-773-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST UNIT 126-127",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664653",
            "telephone_number": "305-847-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N 12th St # 980566",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985064",
            "country_code": "US",
            "telephone_number": "804-828-0843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16371 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331964942",
            "country_code": "US",
            "telephone_number": "305-459-3192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2870 NE 8th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330335695",
            "country_code": "US",
            "telephone_number": "305-547-8398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCI",
        "first_name": "ALYSSA",
        "middle_name": "GUTIERREZ",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2023-02-09",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0442000303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.