Scott Ryan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10093 Issued in CO

Practice address

850 Happy Canyon Road
Castle Rock, CO 80108

Phone

(303) 688-5705

Fax

(303) 688-5731

NPI assigned

Oct 20, 2010

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

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1407166770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HAPPY CANYON ROAD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "303-688-5705",
            "fax_number": "303-688-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HAPPY CANYON ROAD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "303-688-5705",
            "fax_number": "303-688-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rudolf, OTD, OTR/L
• Allison Anne Ruehlen, OD
• Running Stream Counseling Service, PC (Running Creek Counseling)
• Running Stream Counseling Services, PC (Running Creek Counseling Service)
• Rural Angels LLC
• Safeway Inc (Safeway Pharmacy #1877)
• Sage Creek Wellness Center
• Saguaro Family Clinic
• Joanna Said
• Julianne Salerno

• General Practice Dentistry in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.