Individual provider Active NPI

Megan Ryan, DMD

  • Dentist
  • Menomonie, WI
National Provider Identifier
1295048361
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7147-15 Issued in WI
Practice address
404 Red Cedar St
Menomonie, WI 54751-2332
Phone
(715) 233-6800
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4151 ME
Dentist 122300000X DN1855663 MA
Dentist 122300000X 7147-15 WI Primary

Addresses

Primary practice location

404 Red Cedar St
Menomonie, WI 54751-2332

Mailing address

404 Red Cedar St
Menomonie, WI 54751-2332
Phone (715) 233-6800

Other practice location 1

N6571 Lumberjack Guy Road
Black River Falls, WI 54615
Phone (715) 650-0443

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Health Information Exchange (HIE)
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20131029001250 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214162221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855663MAMDDentist
DEN4151MEMDDentist
7147-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Marshfield Inc Past Accepting new patients

Organizations & group practices 1

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1295048361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 RED CEDAR ST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512332",
            "telephone_number": "715-233-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RED CEDAR ST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512332",
            "telephone_number": "715-233-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N6571 Lumberjack Guy Road",
            "address_purpose": "LOCATION",
            "city": "Black River Falls",
            "state": "WI",
            "postal_code": "54615",
            "country_code": "US",
            "telephone_number": "715-650-0443",
            "fax_number": "715-670-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MEGAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4151",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855663",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7147-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "N6571 Lumberjack Guy Road",
            "city": "Black River Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "404 Red Cedar St",
            "city": "Menomonie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547512332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

Verify at the official NPI Registry.