Individual provider Active NPI

Eric Todd Rysner, DDS

  • Dentist
  • Highlands Ranch, CO
National Provider Identifier
1245222868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8490 Issued in CO
Practice address
537 W Highlands Ranch Pkwy
Suite 102
Highlands Ranch, CO 80129-6954
Phone
(303) 346-1118
Fax
(303) 346-9013
NPI assigned
Aug 19, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8490 CO Primary

Addresses

Primary practice location

537 W Highlands Ranch Pkwy
Suite 102
Highlands Ranch, CO 80129-6954

Mailing address

537 W Highlands Ranch Pkwy
Suite 102
Highlands Ranch, CO 80129-6954
Phone (303) 346-1118

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

LicenseStateTypeSpecialty
8490COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245222868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 W HIGHLANDS RANCH PKWY",
            "address_2": "SUITE 102",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296954",
            "telephone_number": "303-346-1118",
            "fax_number": "303-346-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W HIGHLANDS RANCH PKWY",
            "address_2": "SUITE 102",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296954",
            "telephone_number": "303-346-1118",
            "fax_number": "303-346-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSNER",
        "first_name": "ERIC",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.