Active NPI
Ryan Allen Hershey, DDS
- Endodontics
- Jacksonville, FL
National Provider Identifier
1275975062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8725121-9921
- Practice address
- Bureau of Medicine and Surgery 554 Keily St.
Centralized Credentials and Privileging Directorate
Jacksonville, FL 32212 - Phone
- (757) 953-7011
- NPI assigned
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 8725121-9921 | UT | Primary |
Addresses
Primary practice location
Bureau of Medicine and Surgery 554 Keily St.
Centralized Credentials and Privileging Directorate
Jacksonville, FL 32212
Mailing address
Bureau of Medicine and Surgery 554 Keily St.
Centralized Credentialing and Privileging Directorate
Jacksonville, FL 32212
Phone (757) 953-7011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8725121-9921 | UT | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1275975062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BUREAU OF MEDICINE AND SURGERY 554 KEILY ST.",
"address_2": "CENTRALIZED CREDENTIALING AND PRIVILEGING DIRECTORATE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32212",
"telephone_number": "757-953-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUREAU OF MEDICINE AND SURGERY 554 KEILY ST.",
"address_2": "CENTRALIZED CREDENTIALS AND PRIVILEGING DIRECTORATE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32212",
"telephone_number": "757-953-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHEY",
"first_name": "RYAN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "UT",
"license": "8725121-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.