NPIMap

Organization Active NPI

Ryan Dental Group PA

  • General Practice Dentistry
  • Allen, TX
National Provider Identifier
1184901860
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RYAN DENTAL GROUP PA
Practice address
1650 E Stacy Rd Ste 100
Allen, TX 75002-8778
Phone
(972) 727-5001
Fax
(214) 644-0077
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Laura Ryan, D.D.S.NPI 1003048992
Title
Vice President
Phone
(972) 727-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1650 E Stacy Rd Ste 100
Allen, TX 75002-8778

Mailing address

1650 E Stacy Rd Ste 100
Allen, TX 75002-8778
Phone (972) 727-5001

National Provider Directory

National Provider Directory

Locations

1650 E Stacy Rd
Ste 100
Allen, TX 75002
Phone (972) 727-5001

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1184901860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E STACY RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028778",
            "telephone_number": "972-727-5001",
            "fax_number": "214-644-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E STACY RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028778",
            "telephone_number": "972-727-5001",
            "fax_number": "214-644-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-727-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.