Individual provider Active NPI

Ryan Daniel Howley, DDS

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1245750397
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13805 Issued in MN
Practice address
2221 Ford Pkwy Ste 201
Saint Paul, MN 55116-3857
Phone
(651) 698-1242
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13805 MN Primary

Addresses

Primary practice location

2221 Ford Pkwy Ste 201
Saint Paul, MN 55116-3857

Mailing address

1120 Town Centre Dr Apt 4
Eagan, MN 55123-2320
Phone (952) 836-7921

Other practice location 1

1120 Town Centre Dr Apt 4
Eagan, MN 55123-2320
Phone (952) 836-7921

Other practice location 2

2300 MN-96
White Bear Lake, MN 55110
Phone (651) 429-5354

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
D13805MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lund Family Dentistry PastSince Jan 21, 2022 Accepting new patients
Okane and Monssen Family Dentistry Past Accepting new patients
Dr.Crandall D.D.S Dentist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1245750397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 TOWN CENTRE DR APT 4",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232320",
            "telephone_number": "952-836-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 FORD PKWY STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163857",
            "telephone_number": "651-698-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Town Centre Dr Apt 4",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551232320",
            "country_code": "US",
            "telephone_number": "952-836-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 MN-96",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "55110",
            "country_code": "US",
            "telephone_number": "651-429-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWLEY",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.