NPIMap

Individual provider Active NPI

Ryan J Smart, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Fargo, ND
National Provider Identifier
1386849446
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
13411 Issued in ND
Practice address
2585 23Rd Ave S Unit a
Fargo, ND 58103-6172
Phone
(701) 478-4404
Fax
(701) 478-4407
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 13411 ND Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2230 ND
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 13411 ND

Addresses

Primary practice location

2585 23Rd Ave S Unit a
Fargo, ND 58103-6172

Mailing address

10175 Gateway Blvd W Ste 304
El Paso, TX 79925-7618
Phone (915) 504-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150729007956 ND Practitioner - Maxillofacial Surgery 2264695279 Reassigns benefits to 2 organizations
I20190712002268 TX Practitioner - Maxillofacial Surgery 2264695279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Harvard Medical School, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

2585 23Rd Ave S
Unit a
Fargo, ND 58103-6172
Phone (701) 478-4404

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2230NDMDOral and Maxillofacial Surgery (Dentist)
13411NDMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Oral Surgery LTD Oral & Maxillofacial Surgery CurrentSince Oct 1, 2021 Accepting new patients
Sanford Medical Center Fargo Oral & Maxillofacial Surgery CurrentSince May 7, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince May 7, 2023 Accepting new patients
Prairie Oral Surgery LTD Oral and Maxillofacial Surgery CurrentSince Sep 22, 2021 Accepting new patients
West Texas Maxillofacial Surgery PA Oral & Maxillofacial Surgery CurrentSince Jun 20, 2019 Accepting new patients

Locations

2585 23rd Ave S
Unit A
Fargo, ND 58103
Phone (701) 478-4404

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

601 Sunland Park Dr
Ste 2
El Paso, TX 79912
Phone (915) 504-6880

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

10175 Gateway Blvd W
Ste 304
El Paso, TX 79925
Phone (915) 504-6880

Interoperability endpoints

  • Direct secure messaging: rsmart320550@ahs.direct-ci.com
  • Direct secure messaging: ryan.smart@direct.myhealthep.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1386849446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257618",
            "telephone_number": "915-504-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 23RD AVE S UNIT A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036172",
            "telephone_number": "701-478-4404",
            "fax_number": "701-478-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ND",
            "license": "13411",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ND",
            "license": "2230",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "ND",
            "license": "13411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.