DR. MICHAEL JOHN RICCOBONI DC NPI 1013998848

NPI Information

  • NPI: 1013998848
  • Provider Name: DR. MICHAEL JOHN RICCOBONI, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 6774 RIVER CENTER DRIVE
    CLEMMONS, NC
    ZIP 27012
  • Phone: (336) 766-5935

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NPI Details

DR. Michael John Riccoboni, DC is a chiropractor in Clemmons, NC with 24 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Michael John Riccoboni, DC NPI is 1013998848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6774 RIVER CENTER DRIVE
CLEMMONS, NC
ZIP 27012-999
Phone: (336) 766-5935
Fax: (336) 766-5365

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 11/9/2005 and was last updated on 11/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3062NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1648441OTHERACN PROVIDER NUMBER
2U95430MEDICARE UPIN
32334062MEDICARE ID-TYPE UNSPECIFIEDCLINIC NUMBER
4085HMOTHERNORTH CAROLINABLUECROSS/BLUE SHIELD NUM
589085HMMEDICAIDNORTH CAROLINA
62456520MEDICARE ID-TYPE UNSPECIFIEDINDIVIDUAL # TO CLINIC
741-2094316OTHERALL OTHER NETWORKS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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