Bernard Eugene Ryan II, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

9 Briarcliff Professional Center
Suite D
Bourbonnais, IL 60914-2429

Phone

(815) 932-9695

Fax

(815) 929-0582

NPI assigned

May 23, 2007

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 IL

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

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.

• Bernard E Ryan DDS PC

  • Dental Clinic/Center
  • Bourbonnais, IL
  • NPI 1467615716
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194935759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRIARCLIFF PROFESSIONAL CENTER",
            "address_2": "SUITE D",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142429",
            "telephone_number": "815-932-9695",
            "fax_number": "815-929-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRIARCLIFF PROFESSIONAL CENTER",
            "address_2": "SUITE D",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142429",
            "telephone_number": "815-932-9695",
            "fax_number": "815-929-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BERNARD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Routson
• Amanda J Roy
• Nicole Roy, LPC
• Samantha Mary Ruhbeck, PA-C
• Nicholas J Rutkowski, O.D.
• Kathleen M Saindon II
• Giovanni M Salerno, MD
• Chloe Ann Sanford
• Louis Dennis Santangelo, D.P.M.
• Sarah Falk Counseling Inc

• Dentist in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.