Active NPI
Ryan William Eaton, DMD
- Dentist
- Tuscumbia, AL
National Provider Identifier
1063141786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-0007034-C1
- Practice address
- 121 E 6TH St
Tuscumbia, AL 35674-2413 - Phone
- (256) 712-2240
- NPI assigned
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-0007034-C1 | AL | Primary |
Addresses
Primary practice location
121 E 6TH St
Tuscumbia, AL 35674-2413
Mailing address
121 E 6TH St
Tuscumbia, AL 35674-2413
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-0007034-C1 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1063141786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E 6TH ST",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356742413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E 6TH ST",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356742413",
"telephone_number": "256-712-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "RYAN",
"middle_name": "WILLIAM",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D-0007034-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscumbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.