Active NPI
Ryan Mark O'Neill, D.M.D.
- Dentist
- Nashville, TN
National Provider Identifier
1124380704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9433
- Practice address
- 15576 Old Hickory Blvd
Nashville, TN 37211-7330 - Phone
- (615) 331-5977
- NPI assigned
- Jun 11, 2012
- 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 | 9433 | TN | Primary |
Addresses
Primary practice location
15576 Old Hickory Blvd
Nashville, TN 37211-7330
Mailing address
15576 Old Hickory Blvd
Nashville, TN 37211-7330
Phone (615) 331-5977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160919000969 | TN | Practitioner - Oral Surgery | 0446571756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9433 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brentwood Dental Associates, PPLC | Past | Accepting new patients | |
| South Nashville Dental Associates, PLLC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Brentwood, TN
- NPI 1437741014
-
- General Practice Dentistry
- Nashville, TN
- NPI 1851904338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1124380704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15576 OLD HICKORY BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372117330",
"telephone_number": "615-331-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15576 OLD HICKORY BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372117330",
"telephone_number": "615-331-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "RYAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.