Individual provider Active NPI

Ryan Erfan Ranjbar, DMD

  • Dentist
  • Conyers, GA
National Provider Identifier
1306585930
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122660 Issued in GA
Practice address
1927 Highway 138 NE Ste 300
Conyers, GA 30013-1254
Phone
(770) 922-7831
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122660 GA Primary

Addresses

Primary practice location

1927 Highway 138 NE Ste 300
Conyers, GA 30013-1254

Mailing address

385 N Angier Ave NE Unit 1436
Atlanta, GA 30308-3105
Phone (678) 684-8819

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

LicenseStateTypeSpecialty
DN122660GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1306585930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 N ANGIER AVE NE UNIT 1436",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083105",
            "telephone_number": "678-684-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 HIGHWAY 138 NE STE 300",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131254",
            "telephone_number": "770-922-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANJBAR",
        "first_name": "RYAN",
        "middle_name": "ERFAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.