ALEXANDRA BOUDREAU AND KEVIN RICKER
NPI 1700336955
Dentist - Pediatric Dentistry in Chapel Hill, NC

Active since October 12, 2016
79 FALLING SPRINGS DR., SUITE 120, CHAPEL HILL, NC 27516(919) 391-3813 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2023, Oct 12, 2016 (2 updates tracked since 2016).

About Alexandra Boudreau And Kevin Ricker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA BOUDREAU AND KEVIN RICKER (NPI 1700336955) is a healthcare organization registered as a pediatric dentistry in Chapel Hill, North Carolina and active in the NPI registry since October 2016. The organization lists Kevin Ricker, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1700336955
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameALEXANDRA BOUDREAU AND KEVIN RICKER
Location Address79 FALLING SPRINGS DR., SUITE 120Chapel Hill, NC 27516
Mailing Address79 Falling Springs Dr., Suite 120Chapel Hill, NC 27516 · (919) 391-3813
Organization SubpartNo
Authorized OfficialKevin RickerPediatric Dentist · (919) 391-3813
Enumeration DateOctober 12, 2016
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1700336955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NC · 9311
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
79 FALLING SPRINGS DR., Chapel Hill, NC 27516

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
79 FALLING SPRINGS DR., SUITE #110
CHAPEL HILL, NC 27516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Boudreau And Kevin Ricker's NPI number?

The NPI number for Alexandra Boudreau And Kevin Ricker is 1700336955. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Alexandra Boudreau And Kevin Ricker located?

Alexandra Boudreau And Kevin Ricker is located at 79 Falling Springs Dr. Suite 120, Chapel Hill, NC 27516. The listed phone number is (919) 391-3813.

What is Alexandra Boudreau And Kevin Ricker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Alexandra Boudreau And Kevin Ricker was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.