Individual provider Active NPI

Ryan Nathaniel Dobbs, D.D.S., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Aurora, CO
National Provider Identifier
1104051473
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
55063 Issued in CO
Practice address
7380 South Gartrell Road
Aurora, CO 80016
Phone
(720) 826-8900
Fax
(720) 826-8899
NPI assigned
May 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6630 NE
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 202453 CO
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS039194 PA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X A118747 CA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 55063 CO Primary

Addresses

Primary practice location

7380 South Gartrell Road
Aurora, CO 80016

Mailing address

7380 South Gartrell Road
Aurora, CO 80016
Phone (720) 826-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601001118 CO Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2365699519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Creighton University School of Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7380 S Gartrell Rd
Saddle Rock Institute
Aurora, CO 80016-4110
Phone (720) 826-8900

Hospital & facility affiliations

  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • Modoc Medical Center Hospital, Alturas, CA, CCN 051330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6630NEMDDentist
202453COMDOral and Maxillofacial Surgery (Dentist)
A118747CAMDOral & Maxillofacial Surgery (D.M.D.)
55063COMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Saddle Rock Oral and Facial Reconstructive Surgery PLLC Oral & Maxillofacial Surgery CurrentSince Feb 1, 2021 Accepting new patients
Cherry Tree Medical Associates Inc Current Accepting new patients

Locations

7380 S Gartrell Rd
Aurora, CO 80016
Phone (720) 826-8900

129 Simpson Rd
Brownsville, PA 15417
Phone (724) 439-4531

25 Highland Park Dr
Uniontown, PA 15401
Phone (724) 438-3040

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1104051473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SOUTH GARTRELL ROAD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80016",
            "telephone_number": "720-826-8900",
            "fax_number": "720-826-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 SOUTH GARTRELL ROAD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80016",
            "telephone_number": "720-826-8900",
            "fax_number": "720-826-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "RYAN",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6630",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "202453",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039194",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A118747",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CO",
            "license": "55063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.