Ryan Andre Manalo Magsino, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11901068-9921 Issued in UT

Practice address

670 Boulevard de France
Beaufort, SC 29905

Phone

(843) 228-3500

NPI assigned

Aug 28, 2020

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1366055436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 CORD GRASS LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066105",
            "telephone_number": "619-850-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BOULEVARD DE FRANCE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29905",
            "telephone_number": "843-228-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Sea Bird Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921546402",
            "country_code": "US",
            "telephone_number": "619-850-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGSINO",
        "first_name": "RYAN ANDRE",
        "middle_name": "MANALO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "11901068-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lymin Inc
• Abigail Lynch
• Chayanne R Lytle
• M.E.T. Speech Therapy, LLC
• Joey Mackenzie, DMD
• Melanie Ann Majorie
• Sameena Malhan, MD
• Maxwell Maloney
• Royce Vernon Malphrus, PHD
• Lareecia Mance

• Dentist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.