Active NPI
Ryan Tinker
- Orthodontics and Dentofacial Orthopedics Dentistry
- Phoenix, AZ
National Provider Identifier
1124424635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- F000530
- Practice address
- 3850 W Greenway Rd
Suite #100
Phoenix, AZ 85053-3731 - Phone
- (480) 448-1451
- Fax
- (480) 448-1462
- NPI assigned
- Nov 10, 2014
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | F000530 | AZ | Primary |
Addresses
Primary practice location
3850 W Greenway Rd
Suite #100
Phoenix, AZ 85053-3731
Mailing address
8717 E San Ardo Dr
Scottsdale, AZ 85258-2601
Phone (714) 300-5246
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 |
|---|---|---|---|
| F000530 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1124424635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 E SAN ARDO DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852582601",
"telephone_number": "714-300-5246",
"fax_number": "480-448-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 W GREENWAY RD",
"address_2": "SUITE #100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850533731",
"telephone_number": "480-448-1451",
"fax_number": "480-448-1462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINKER",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "F000530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.