Individual provider Active NPI

Paige Sthen Ryan, D.D.S.

  • Dentist
  • Anchorage, AK
National Provider Identifier
1013264928
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1425 Issued in AK
Practice address
1310 E Dimond Blvd Ste 3
Anchorage, AK 99515-2031
Phone
(907) 336-7337
Fax
(907) 336-7338
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1425 AK Primary

Addresses

Primary practice location

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

Mailing address

PO Box 398
Kotzebue, AK 99752-0398

Other names 1

  • Dr. Paige Nichole Sthen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1425AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan, LLC Current Accepting new patients
Maniilaq Association Past Accepting new patients

Locations

1310 E Dimond Blvd
Ste 3
Anchorage, AK 99515
Phone (907) 336-7337

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1013264928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520398"
        },
        {
            "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": "907-336-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PAIGE",
        "middle_name": "STHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "STHEN",
            "middle_name": "NICHOLE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • 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.