Ryan C. Shipp, DMD, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

S7-55 Issued in NV

Practice address

9053 S Pecos Rd Ste 3000
Henderson, NV 89074-7179

Phone

(702) 798-0911

Fax

(702) 798-4723

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Idaho Endodontics

  • Endodontics
  • Boise, ID
  • NPI 1710509823
  NPD (past)
• West Valley Endodontics

  • Endodontics
  • Nampa, ID
  • NPI 1366193468
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1255475117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9053 S PECOS RD STE 3000",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747179",
            "telephone_number": "702-798-0911",
            "fax_number": "702-798-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 S PECOS RD STE 3000",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747179",
            "telephone_number": "702-798-0911",
            "fax_number": "702-798-4723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 S Timesquare Ln",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837098266",
            "country_code": "US",
            "telephone_number": "208-672-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 N Jacob Alcott Way",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836875198",
            "country_code": "US",
            "telephone_number": "208-936-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "RYAN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "5491",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "ID",
            "license": "D-4207-EN",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hidenobu Shigemitsu, M.D.
• Candice Jean Shigemoto
• Kindra Isabell Shines
• Melissa Shinnie
• Raiza Shipin, RD/RDN, LD
• Romina Shirka, D.O.
• Athena Shlemon
• Brooke C Shlisky
• Matthew Jacob Shoemaker, DO
• William R Shoemaker, M.D.

• Endodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.