Ryan M Mariner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16929 Issued in MD

Practice address

201 Belt St Suite a
Snow Hill, MD 21863

Phone

(410) 632-2551

Fax

(410) 632-2561

NPI assigned

Sep 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ryan Mariner DDS LLC

  • General Practice Dentistry
  • Ocean City, MD
  • NPI 1245072248
  NPD Authorized official

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1144870676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BELT ST SUITE A",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "21863",
            "telephone_number": "410-632-2551",
            "fax_number": "410-632-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BELT ST SUITE A",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "21863",
            "telephone_number": "410-632-2551",
            "fax_number": "410-632-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12165 Elm St",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531358",
            "country_code": "US",
            "telephone_number": "410-651-5151",
            "fax_number": "410-651-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINER",
        "first_name": "RYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16929",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@snowhilldental.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 N Washington St",
            "city": "Snow Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218631055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Klingenberg Maisel, RN
• George Eric Malin, CAC
• Teah Janay Mann
• Violet Margarita-Goldkamp
• Courtney Ann Mariner
• Caitlyn Marshall
• Desinae Ayala Marshall
• Martin Physical Therapy, Inc (Martin Physical Therapy)
• Martin Physical Therapy, Inc (Martin Physical Therapy)
• Jessica Martin, LGPC

• Dentist in Snow Hill, MD
• Providers in Snow Hill, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.