Individual provider Active NPI

Ryan Michael Tigrett, D.D.S.

  • Endodontics
  • Napa, CA
National Provider Identifier
1346405438
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
59719 Issued in CA
Practice address
3448 Villa LN
Suite 101
Napa, CA 94558-6471
Phone
(707) 265-7790
NPI assigned
Jul 28, 2008
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 59719 CA Primary
Endodontics 1223E0200X DN19186 FL

Addresses

Primary practice location

3448 Villa LN
Suite 101
Napa, CA 94558-6471

Mailing address

703 Saratoga Dr
Apt 921
Napa, CA 94559-3593
Phone (301) 801-5399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 8, 2016 through Jul 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN19186FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Tigrett DDS PC Endodontics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1346405438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SARATOGA DR",
            "address_2": "APT 921",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593593",
            "telephone_number": "301-801-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 VILLA LN",
            "address_2": "SUITE 101",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586471",
            "telephone_number": "707-265-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGRETT",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "59719",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN19186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.