Marilia Ryan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12489 Issued in NC

Practice address

6320 Capital Blvd Ste 121
Raleigh, NC 27616-3017

Phone

(919) 981-7363

Fax

(919) 981-0679

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lane and Associates Xxxiv DDS PA

  • Dentist
  • Raleigh, NC
  • NPI 1578114732

  General Practice

  NPD
• J. Sands, D.D.S. Inc.

  dba Pearline Health

  • Dentist
  • Studio City, CA
  • NPI 1083206791
  NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1164984571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 CAPITAL BLVD STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163017",
            "telephone_number": "919-981-7363",
            "fax_number": "919-981-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 CAPITAL BLVD STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163017",
            "telephone_number": "919-981-7363",
            "fax_number": "919-981-0679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12840 Riverside Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916073335",
            "country_code": "US",
            "telephone_number": "818-766-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10833 Le Conte Ave Rm 30-131",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "310-825-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MARILIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103539",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakob Nathaniel Ryan
• Jeffrey C Ryan, M.D.
• Jessica Ann Ryan, MSW, M.ED
• Jill Wittke Ryan, OTR/L
• Julia Rose Ryan, OTD
• Michelle Ryan, M.A. CCC-SLP
• Timothy Edward Ryan, MD
• Courtney Brooke Rybandt, WHNP-BC
• Mallory Elizabeth Rybarczyk, AGACNP
• Kristin Liv Ryder, SLP

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.

Verify at the official NPI Registry.