Individual provider Active NPI

Ryan Michael Owaski, D.D.S.

  • Pediatric Dentistry
  • Palm Beach Gardens, FL
National Provider Identifier
1376772137
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN 18578 Issued in FL
Practice address
11382 Prosperity Farms Rd Ste 129
Palm Beach Gardens, FL 33410-3463
Phone
(561) 622-9601
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN 18578 FL Primary

Addresses

Primary practice location

11382 Prosperity Farms Rd Ste 129
Palm Beach Gardens, FL 33410-3463

Mailing address

272 Feather PT S
Jupiter, FL 33458-8346
Phone (917) 445-7835

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
DN 18578FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan M. Owaski, D.D.S., P.a. Pediatric Dentistry 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1376772137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 FEATHER PT S",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588346",
            "telephone_number": "917-445-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11382 PROSPERITY FARMS RD STE 129",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103463",
            "telephone_number": "561-622-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWASKI",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 18578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.