Organization Active NPI

Ryan K. Staehling, DDS, PLLC

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1225318264
Registry record updated Dec 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8896 Issued in NC
Legal business name
RYAN K. STAEHLING, DDS, PLLC
Practice address
6500 Creedmoor Rd
Suite 204
Raleigh, NC 27613-3697
Phone
(919) 706-0565
Fax
(919) 706-0564
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2011

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

Authorized official

Name
Dr. Ryan Keith Staehling, DDSNPI 1679701288
Title
Member, Manager, and Organizer
Phone
(225) 802-1345

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 8896 NC Primary

Addresses

Primary practice location

6500 Creedmoor Rd
Suite 204
Raleigh, NC 27613-3697

Mailing address

6500 Creedmoor Rd
Suite 204
Raleigh, NC 27613-3697
Phone (919) 706-0565

Other names 1

  • Southern Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

6500 Creedmoor Rd
Ste 204
Raleigh, NC 27613
Phone (919) 706-0565

Practitioners & affiliated clinicians

Practitioners 1

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": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322870400000",
    "number": "1225318264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CREEDMOOR RD",
            "address_2": "SUITE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133697",
            "telephone_number": "919-706-0565",
            "fax_number": "919-706-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CREEDMOOR RD",
            "address_2": "SUITE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133697",
            "telephone_number": "919-706-0565",
            "fax_number": "919-706-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN K. STAEHLING, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-12-03",
        "status": "A",
        "authorized_official_last_name": "STAEHLING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MEMBER, MANAGER, AND ORGANIZER",
        "authorized_official_telephone_number": "225-802-1345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.