Individual provider Active NPI

Patrick J Ryan, D.D.S.

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1295897635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12120 Issued in MN
Practice address
405 Sibley St
Suite 240
Saint Paul, MN 55101-2975
Phone
(651) 224-6824
Fax
(651) 224-3226
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12120 MN Primary

Addresses

Primary practice location

405 Sibley St
Suite 240
Saint Paul, MN 55101-2975

Mailing address

405 Sibley St
Suite 240
Saint Paul, MN 55101-2975
Phone (651) 224-6824

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12102MNMDGeneral Practice Dentistry
D12120MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Leroy M. Hipp, D.D.S. General Practice Past Accepting new patients
Carly C. Lawson, DDS, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295897635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SIBLEY ST",
            "address_2": "SUITE 240",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012975",
            "telephone_number": "651-224-6824",
            "fax_number": "651-224-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SIBLEY ST",
            "address_2": "SUITE 240",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012975",
            "telephone_number": "651-224-6824",
            "fax_number": "651-224-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.