Shadi Ryad, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

64587 Issued in CA

Practice address

1849 Willow Pass Rd Ste 400
Concord, CA 94520-2581

Phone

(747) 777-2613

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Shadi Ryad DDS Inc.

  • General Practice Dentistry
  • Concord, CA
  • NPI 1780390245
  NPD Authorized official

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1174906929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JENSEN WAY",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 WILLOW PASS RD STE 400",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202581",
            "telephone_number": "747-777-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAD",
        "first_name": "SHADI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Ruszel, RD
• Jeffery Rutherford
• Melinda Ruvalcaba
• Davina Ruvolo
• Christopher Alan Ruzicka, OD
• Marlena Patrice Ryan
• Michael Ann Ryan, R.N.
• Shane Robert Ryan
• Stacey Ryan
• Annabelle Suvi Rylander

• Dentist in Concord, CA
• Providers in Concord, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.