Paul Donald Rynders, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D10333 Issued in MN

Practice address

1403 Silver Lake Rd NW
New Brighton, MN 55112-6398

Phone

(651) 635-0556

Fax

(651) 633-1374

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326116849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126398",
            "telephone_number": "651-635-0556",
            "fax_number": "651-633-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126398",
            "telephone_number": "651-635-0556",
            "fax_number": "651-633-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNDERS",
        "first_name": "PAUL",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D10333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Ruskamp
• Megan Rustad, LPC
• John Nicholas Ryan
• Judy Ann Ryan
• Kaula Marie Ryks, MA, LPCC
• Edwinna Gates Sackariason, LMT
• Charles Sadder, DNP
• Maryan A Said
• Miski A Said
• Mohamed Said

• Pediatric Dentistry in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Pediatric Dentistry in Minnesota

• 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.