Active NPI
Jeffrey Scott Ryther, D.D.S.
- Prosthodontics
- Green Bay, WI
National Provider Identifier
1083899496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2724
- Practice address
- 1901 S Webster Ave
Suite 8
Green Bay, WI 54301-2281 - Phone
- (920) 437-1499
- Fax
- (920) 437-5333
- NPI assigned
- Jan 3, 2008
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2724 | WI | Primary |
Addresses
Primary practice location
1901 S Webster Ave
Suite 8
Green Bay, WI 54301-2281
Mailing address
1901 South Webster
Suite 8
Green Bay, WI 54301
Phone (920) 437-1499
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 |
|---|---|---|---|
| 2724 | WI | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1083899496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 SOUTH WEBSTER",
"address_2": "SUITE 8",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54301",
"telephone_number": "920-437-1499",
"fax_number": "920-437-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S WEBSTER AVE",
"address_2": "SUITE 8",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012281",
"telephone_number": "920-437-1499",
"fax_number": "920-437-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYTHER",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WI",
"license": "2724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.