Organization Active NPI

Ryan D Blissett, DMD, PC

  • Dentist
  • Chestnut Hill, MA
National Provider Identifier
1184284127
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RYAN D BLISSETT, DMD, PC
Practice address
822 Boylston St Ste 200
Chestnut Hill, MA 02467-2504
Phone
(617) 606-3852
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Dr. Ryan Douglas Blissett, DMD
Title
Prosthodontist
Phone
(617) 217-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

822 Boylston St Ste 200
Chestnut Hill, MA 02467-2504

Mailing address

822 Boylston St Ste 200
Chestnut Hill, MA 02467-2504
Phone (617) 606-3852

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1184284127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 BOYLSTON ST STE 200",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672504",
            "telephone_number": "617-606-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 BOYLSTON ST STE 200",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672504",
            "telephone_number": "617-606-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN D BLISSETT, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "BLISSETT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "617-217-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.