Lara L Tull Ryan DDS Ms PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

60284 Issued in KS

Legal business name

LARA L TULL RYAN DDS MS PA

Doing business as

Johnson County Periodontics Dental Implants & Laser Surgery

Practice address

4601 W. 109TH St.
Suite 212
Overland Park, KS 66211

Phone

(913) 491-5548

Fax

(913) 491-0793

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Lara L Tull Ryan

Title

Owner

Phone

(913) 491-5548

Specialties & licenses 1

Addresses

Other names 1

• Johnson County Periodontics Dental Implants & Laser Surgery Doing business as

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1013904564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST",
            "address_2": "SUITE 212",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-491-5548",
            "fax_number": "913-491-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W. 109TH ST.",
            "address_2": "SUITE 212",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-491-5548",
            "fax_number": "913-491-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA L TULL RYAN DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "L TULL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-491-5548"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "60284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County Periodontics Dental Implants & Laser Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jan R Langton
• Bharata Lankachandra, M.D.
• Callie Lanser
• Anjelic Christina Lapoint
• Jenna Rae Laporte
• Patricia Pemberton Laramore, DO
• Alexis Larson, PT, DPT
• Chandra Rae Larson, D.C.
• Jessica Jane Larson, PT
• Kelly Marie Larson, P.T.

• Periodontics in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.