Ryan Mathew Durner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30-024498 Issued in OH

Practice address

4874 Wunnenberg Way
West Chester, OH 45069-4863

Phone

(513) 746-8228

NPI assigned

Oct 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Northside Dental Ryan Durner, DDS, LLC

  dba Northside Dental

  • Dental Clinic/Center
  • Cincinnati, OH
  • NPI 1952918443
  NPD Authorized official
• Afinia Dental-Killgore North, Inc

  dba Afinia Dental

  • Dental Clinic/Center
  • West Chester, OH
  • NPI 1326563289
  NPD
• Ohio Dental Professionals, Delisle, P.C.

  dba Afinia Dental - West Chester

  • General Practice Dentistry
  • West Chester, OH
  • NPI 1043986250
  NPD

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1043681273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4874 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4874 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694863",
            "telephone_number": "513-746-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURNER",
        "first_name": "RYAN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Duncan
• Makenzie Kayla Dunlap
• Lauren Dupont, SP
• Joshua Durham
• Lacricia Ladawn Durham
• Caitlin Elizabeth Dutton, CNP
• Melissa Mae Dwyer, CNP
• Nicole Dwyer, OT
• Lisa Lynne Dye
• East Star Senior Home Care and Transporation

• Dentist in West Chester, OH
• Providers in West Chester, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.