Ryan, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RYAN, LLC

Doing business as

Kids Dental Tree

Practice address

1310 E Dimond Blvd Ste 3
Anchorage, AK 99515-2031

Phone

(907) 336-7337

Fax

(907) 336-7343

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Kyona Haley

Title

Practice Manager

Phone

(907) 336-7337

Specialties & licenses 1

Addresses

Other names 1

• Kids Dental Tree Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Edward Keller, DDS

  • Pediatric Dentistry
  • Anchorage, AK
  • NPI 1588858260
  NPD
• Paige Sthen Ryan, D.D.S.

  • Dentist
  • Anchorage, AK
  • NPI 1013264928
  NPD

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1003415696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-336-7337",
            "fax_number": "907-336-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-336-7337",
            "fax_number": "907-336-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "KYONA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-336-7337"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Tree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Ryan, MD
• Holley Ryan, MHS
• Jacqueline Ryan, PA-C
• Kathryn Alexander Ryan, D.O.
• Kelly Brian Ryan, D.C.
• Nicole E Ryan, BA, CDCI
• Paige Sthen Ryan, D.D.S.
• Peter Arnold Ryan, DC
• Joel R Rygh, CRNA
• Jonathon D Rygh, CRNA

• Dental Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.