Individual provider Active NPI

Les L. Rymer, D.D.S., L.L.C.

  • General Practice Dentistry
  • Marietta, OH
National Provider Identifier
1184893182
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30016372 Issued in OH
Practice address
506 2ND St
Marietta, OH 45750-2118
Phone
(740) 373-9184
Fax
(740) 373-9184
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30016372 OH Primary

Addresses

Primary practice location

506 2ND St
Marietta, OH 45750-2118

Mailing address

506 2ND St
Marietta, OH 45750-2118
Phone (740) 373-9184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170127002673 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608191903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30016372OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1184893182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502118",
            "telephone_number": "740-373-9184",
            "fax_number": "740-373-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502118",
            "telephone_number": "740-373-9184",
            "fax_number": "740-373-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYMER",
        "first_name": "LES",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., L.L.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30016372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.