Organization Active NPI

Nuset Clarksville

  • Dental Clinic/Center
  • Clarksville, MD
National Provider Identifier
1194442772
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NUSET CLARKSVILLE
Practice address
12431 Clarksville Pike
Route 108
Clarksville, MD 21029
Phone
(410) 531-2265
NPI assigned
Oct 24, 2022
Organization subpart
Yes
Parent organization
NUSET SILVER SPRINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Robert Cory Ryan, MD/DDS
Title
Owner
Phone
(303) 501-2212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Dental Laboratory 292200000X

Addresses

Primary practice location

12431 Clarksville Pike
Route 108
Clarksville, MD 21029

Mailing address

7991 Vance Dr Ste a
Arvada, CO 80003-2148
Phone (303) 422-2990

Other names 2

  • NuSet Other name
  • NuSet Silver Spring Other name

National Provider Directory

National Provider Directory
Tax ID family
Nuset Silver Springs LLC2 organizations share this tax ID, including this one
Part of
Nuset Silver Springs LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7991 Vance Dr
Ste A
Arvada, CO 80003
Phone (303) 422-2990

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1194442772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7991 VANCE DR STE A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032148",
            "telephone_number": "303-422-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12431 CLARKSVILLE PIKE",
            "address_2": "ROUTE 108",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "21029",
            "telephone_number": "410-531-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSET CLARKSVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NUSET SILVER SPRING",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-501-2212",
        "authorized_official_credential": "MD/DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuSet",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NuSet Silver Spring",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.