NPIMap

Organization Active NPI

West Ridge Family Dental, P.C.

  • General Practice Dentistry
  • Erie, PA
National Provider Identifier
1013189349
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036140 Issued in PA
Legal business name
WEST RIDGE FAMILY DENTAL, P.C.
Practice address
5712 W Ridge Rd
Erie, PA 16506-1014
Phone
(814) 833-1131
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Ryan D Blanc, DDSNPI 1366540692
Title
Secretary
Phone
(814) 833-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS036140 PA Primary

Addresses

Primary practice location

5712 W Ridge Rd
Erie, PA 16506-1014

Mailing address

5712 W Ridge Rd
Erie, PA 16506-1014
Phone (814) 833-1131

National Provider Directory

National Provider Directory

Locations

5712 W Ridge Rd
Erie, PA 16506
Phone (814) 833-1131

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1013189349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 W RIDGE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061014",
            "telephone_number": "814-833-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 W RIDGE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061014",
            "telephone_number": "814-833-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIDGE FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "BLANC",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "814-833-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.