Individual provider Active NPI

Ryan Munton, DMD

  • General Practice Dentistry
  • Radford, VA
National Provider Identifier
1366177701
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418065 Issued in VA
Practice address
1151 E Main St Ste a
Radford, VA 24141-1761
Phone
(540) 639-1674
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401418065 VA Primary

Addresses

Primary practice location

1151 E Main St Ste a
Radford, VA 24141-1761

Mailing address

1465 Sherwood Dr
Christiansburg, VA 24073-2369
Phone (951) 378-9309

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

LicenseStateTypeSpecialty
0401418065VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Munton DMD PLLC General Practice Current Accepting new patients
Radford Family Dental, Inc. General Practice PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1366177701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 SHERWOOD DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732369",
            "telephone_number": "951-378-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E MAIN ST STE A",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411761",
            "telephone_number": "540-639-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTON",
        "first_name": "RYAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.