Individual provider Active NPI

Ryan Matthew Leonhart, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • San Antonio, TX
National Provider Identifier
1255436523
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
27720 Issued in TX
Practice address
9646 W. Loop 1604 N
Suite 2101
San Antonio, TX 78254
Phone
(210) 625-7277
Fax
(210) 787-2022
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 27720 TX Primary

Addresses

Primary practice location

9646 W. Loop 1604 N
Suite 2101
San Antonio, TX 78254

Mailing address

9646 W. Loop 1604 N
Suite 2101
San Antonio, TX 78254
Phone (210) 625-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 21, 2014 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan M Leonhart DDS MD PLLC Oral and Maxillofacial Surgery CurrentSince Apr 27, 2025 Accepting new patients
San Antonio Oral & Maxillofacial Surgery Associates, P.a. Oral and Maxillofacial Surgery Past Accepting new patients
San Antonio Oral and Maxillofacial Surgery Associates, P,a. Oral and Maxillofacial Surgery PastSince Jun 21, 2022 Accepting new patients

Locations

9646 W Loop 1604 N
Ste 2101
San Antonio, TX 78254
Phone (210) 625-7277

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1255436523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9646 W. LOOP 1604 N",
            "address_2": "SUITE 2101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-625-7277",
            "fax_number": "210-787-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 W. LOOP 1604 N",
            "address_2": "SUITE 2101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-625-7277",
            "fax_number": "210-787-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHART",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "27720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.