Matthew Dennis Ryan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57830 Issued in CA

Practice address

4350 Marconi Ave
Suite 300
Sacramento, CA 95821-4379

Phone

(916) 486-8255

Fax

(916) 486-1688

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1265436257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MARCONI AVE",
            "address_2": "SUITE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214379",
            "telephone_number": "916-486-8255",
            "fax_number": "916-486-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MARCONI AVE",
            "address_2": "SUITE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214379",
            "telephone_number": "916-486-8255",
            "fax_number": "916-486-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MATTHEW",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051562",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Ryan
• Kelly Patricia Ryan
• Linda Karen Ryan, LMFT
• Manijeh Ryan, MD
• Mark Conley Ryan, RADT-1
• Nicole Ryan
• Weston Ryan
• Jasmine A Rychard
• Marcin Rychlewski, PHARMD
• Ryde Better Medical Transportation

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.