Individual provider Active NPI

Ryan Walker Whitman, DDS

  • Dentist
  • Durango, CO
National Provider Identifier
1053574566
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN00202133 Issued in CO
Practice address
1165 S Camino del Rio Ste 300
Durango, CO 81303-6824
Phone
(970) 382-8111
Fax
(970) 385-4529
NPI assigned
Jul 3, 2008
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN00202133 CO Primary

Addresses

Primary practice location

1165 S Camino del Rio Ste 300
Durango, CO 81303-6824

Mailing address

1165 S Camino del Rio Ste 300
Durango, CO 81303-6824
Phone (970) 382-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 30, 2017 through Aug 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN00202133COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan W. Whitman Family & Cosmetic Dentistry, PLLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1053574566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S CAMINO DEL RIO STE 300",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-382-8111",
            "fax_number": "970-385-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S CAMINO DEL RIO STE 300",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-382-8111",
            "fax_number": "970-385-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "RYAN",
        "middle_name": "WALKER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00202133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.