Individual provider Active NPI

Ryan Mark O'Neill, D.M.D.

  • Dentist
  • Nashville, TN
National Provider Identifier
1124380704
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9433 Issued in TN
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

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919000969 TN Practitioner - Oral Surgery 0446571756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9433TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Dental Associates, PPLC PastSince Feb 7, 2021 Accepting new patients
South Nashville Dental Associates, PLLC PastSince Aug 30, 2020 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.

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

Verify at the official NPI Registry.