Active NPI
Ryan Dennis Foree, DDS
- Pediatric Dentistry
- Montvale, NJ
National Provider Identifier
1326792508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 064258
- Practice address
- 305 W Grand Ave Ste 100
Montvale, NJ 07645-1829 - Phone
- (201) 746-9474
- NPI assigned
- Feb 7, 2022
- Last updated
- Dec 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI03023800 | NJ | |
| Pediatric Dentistry | 1223P0221X | 064258 | NY | Primary |
Addresses
Primary practice location
305 W Grand Ave Ste 100
Montvale, NJ 07645-1829
Mailing address
722 W 168TH St
New York, NY 10032-3727
Phone (212) 305-6754
Other practice location 1
55 Old Nyack Tpke Ste 109
Nanuet, NY 10954-2449
Phone (845) 507-0100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03023800 | NJ | MD | Pediatric Dentist |
| 064258 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiwon Lee, D.D.S., PC | Past | Accepting new patients | |
| Pediatric Dentistry of Nanuet PLLC | Pediatric Dentistry | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Nanuet, NY
- NPI 1790219467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1326792508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323727",
"telephone_number": "212-305-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W GRAND AVE STE 100",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451829",
"telephone_number": "201-746-9474"
}
],
"practiceLocations": [
{
"address_1": "55 Old Nyack Tpke Ste 109",
"address_purpose": "LOCATION",
"city": "Nanuet",
"state": "NY",
"postal_code": "109542449",
"country_code": "US",
"telephone_number": "845-507-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOREE",
"first_name": "RYAN",
"middle_name": "DENNIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-07",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI03023800",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "064258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.