Ryan McCarty Smith, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

MD15432 Issued in MD

Practice address

5482 Muddy Creek Rd
West River, MD 20778-2206

Phone

(410) 867-0247

NPI assigned

May 1, 2013

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Ryan McCarty DDS LLC

  dba Shady Side Family Dental

  • General Practice Dentistry
  • West River, MD
  • NPI 1992412837
  NPD Authorized official

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1407291685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5482 MUDDY CREEK RD",
            "city": "WEST RIVER",
            "state": "MD",
            "postal_code": "207782206",
            "telephone_number": "410-867-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5482 MUDDY CREEK RD",
            "city": "WEST RIVER",
            "state": "MD",
            "postal_code": "207782206",
            "telephone_number": "410-867-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "MCCARTY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "MD15432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owensville Primary Care, Inc (Bay Community Health)
• Lenisha M Paige, PA-C
• Andrew Alexander Powell
• Ryan McCarty DDS LLC (Shady Side Family Dental)
• Thomas A Sheesley, D.O.
• Tanika Wiggins, LCSW-C
• Gabriel Wilson, CRNP-FAMILY

• Dentist in West River, MD
• Providers in West River, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.