NPIMap

Organization Active NPI

John W Ryan DMD PA

  • Dentist
  • Red Bank, NJ
National Provider Identifier
1033502968
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NJ10190000 Issued in NJ
Legal business name
JOHN W RYAN DMD PA
Practice address
116 Spring St
Red Bank, NJ 07701-2426
Phone
(732) 747-3848
Fax
(732) 747-4682
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. John William Ryan, DMDNPI 1770660078
Title
Dentist
Phone
(732) 747-3848

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X NJ10190000 NJ Primary

Addresses

Primary practice location

116 Spring St
Red Bank, NJ 07701-2426

Mailing address

116 Spring St
Red Bank, NJ 07701-2426
Phone (732) 747-3848

National Provider Directory

National Provider Directory

Locations

116 Spring St
Red Bank, NJ 07701
Phone (732) 747-3848

Practitioners & affiliated clinicians

Practitioners 1

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": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1033502968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SPRING ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012426",
            "telephone_number": "732-747-3848",
            "fax_number": "732-747-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SPRING ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012426",
            "telephone_number": "732-747-3848",
            "fax_number": "732-747-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W RYAN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-747-3848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "NJ10190000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.