Individual provider Active NPI

Steven Lloyd Ryan, DDS, MS

  • Endodontics
  • Danville, CA
National Provider Identifier
1326122979
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
51995 Issued in CA
Practice address
903 San Ramon Valley Blvd
Suite 126
Danville, CA 94526
Phone
(209) 256-1507
Fax
(925) 552-0493
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 51995 CA Primary

Addresses

Primary practice location

903 San Ramon Valley Blvd
Suite 126
Danville, CA 94526

Mailing address

903 San Ramon Valley Blvd
Suite 126
Danville, CA 94526
Phone (209) 256-1507

Other practice location 1

2324 Santa Rita Rd Ste 5
Pleasanton, CA 94566-4150
Phone (925) 552-0490

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
51995CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven L. Ryan DDS, Ms, Inc. Endodontics CurrentSince Dec 26, 2021 Accepting new patients

Locations

903 San Ramon Valley Blvd
Ste 126
Danville, CA 94526
Phone (925) 552-0490

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1326122979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 126",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94526",
            "telephone_number": "209-256-1507",
            "fax_number": "925-552-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 126",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94526",
            "telephone_number": "209-256-1507",
            "fax_number": "925-552-0493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 Santa Rita Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945664150",
            "country_code": "US",
            "telephone_number": "925-552-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "STEVEN",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "51995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.