Active NPI
Ryan Lawrence Horn, DDS
- Periodontics
- El Cerrito, CA
National Provider Identifier
1104880111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 56850
- Practice address
- 7001 Stockton Ave
El Cerrito, CA 94530-2961 - Phone
- (510) 527-3414
- NPI assigned
- Apr 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D8530 | OR | |
| Periodontics | 1223P0300X | 56850 | CA | Primary |
Addresses
Primary practice location
7001 Stockton Ave
El Cerrito, CA 94530-2961
Mailing address
7001 Stockton Ave
El Cerrito, CA 94530-2961
Phone (510) 527-3414
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 |
|---|---|---|---|
| D8530 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1104880111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 STOCKTON AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302961",
"telephone_number": "510-527-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 STOCKTON AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302961",
"telephone_number": "510-527-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "RYAN",
"middle_name": "LAWRENCE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8530",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "56850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.