Active NPI
Lynne M Ryan, DDS
- Dentist
- Bartlett, IL
National Provider Identifier
1235497868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019022982
- Practice address
- 840 W Bartlett Rd
Suite 1
Bartlett, IL 60103-4450 - Phone
- (630) 837-5947
- Fax
- (630) 837-6501
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019022982 | IL | Primary |
Addresses
Primary practice location
840 W Bartlett Rd
Suite 1
Bartlett, IL 60103-4450
Mailing address
840 W Bartlett Rd
Suite 1
Bartlett, IL 60103-4450
Phone (630) 837-5947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019022982 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1235497868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 W BARTLETT RD",
"address_2": "SUITE 1",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034450",
"telephone_number": "630-837-5947",
"fax_number": "630-837-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 W BARTLETT RD",
"address_2": "SUITE 1",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034450",
"telephone_number": "630-837-5947",
"fax_number": "630-837-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "LYNNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019022982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.