Individual provider Active NPI

Ryan Daniel McAlpin, DMD

  • Dentist
  • Orange Park, FL
National Provider Identifier
1194975219
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18278 Issued in FL
Practice address
2301 Park Ave
Ste 201
Orange Park, FL 32073-5565
Phone
(904) 269-1048
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18278 FL Primary

Addresses

Primary practice location

2301 Park Ave
Ste 201
Orange Park, FL 32073-5565

Mailing address

2301 Park Ave
Ste 201
Orange Park, FL 32073-5565
Phone (904) 269-1048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161014001061 FL Order and Referring Only - DentistPractitioner - Dentist 4385932995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18278FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1194975219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PARK AVE",
            "address_2": "STE 201",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735565",
            "telephone_number": "904-269-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PARK AVE",
            "address_2": "STE 201",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735565",
            "telephone_number": "904-269-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALPIN",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.