IndividualActive
Dwight Ricketts, D.P.M.
NPI 1083751507 · Podiatrist · Washington, DC
Provider details
- NPI number
- 1083751507
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- P0298 (DC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
7826 Eastern Ave Nw
Suite 209
Washington, DC 20012-1324
Phone: (202) 722-2997
Fax: (202) 722-2997
Approximate (ZIP-level) locationGet directions
Mailing address
7826 Eastern Ave Nw
Washington, DC 20012-1324
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.