Michael Ryan

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

6801 Deseo
Irving, TX 75039-3431

Phone

(503) 479-8630

Fax

(469) 455-3933

NPI assigned

Mar 7, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1417604760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DESEO",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393431",
            "telephone_number": "503-479-8630",
            "fax_number": "469-455-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DESEO",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393431",
            "telephone_number": "503-479-8630",
            "fax_number": "469-455-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Russell, PA-C
• Kristina Deniece Russell, CSFA
• Lori Russo, BCBA
• Alexandra Marie Ruz
• RWW Home & Community Rehab Services, Inc.
• Savannah Rae Ryan, OTD, OTR/L
• Terryl Lee Ryan, CRNA
• Tiffany Ryan, OTR
• S G Global, LLC
• S.S. Safavi, M.D., P.a.

• Contractor in Irving, TX
• Providers in Irving, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.