Individual provider Active NPI

Ryan Shinska, DDS

  • Dentist
  • Gallatin, TN
National Provider Identifier
1447564810
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11713 Issued in TN
Practice address
1101 Nashville Pike Ste 110
Gallatin, TN 37066-3499
Phone
(615) 452-2191
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6104 LA
Dentist 122300000X 11713 TN Primary

Addresses

Primary practice location

1101 Nashville Pike Ste 110
Gallatin, TN 37066-3499

Mailing address

1101 Nashville Pike Ste 110
Gallatin, TN 37066-3499
Phone (615) 452-2191

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6104LAMDProfessional Counselor
11713TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Dental Professionals PC PastSince Jan 26, 2025 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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1447564810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NASHVILLE PIKE STE 110",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663499",
            "telephone_number": "615-452-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NASHVILLE PIKE STE 110",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663499",
            "telephone_number": "615-452-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINSKA",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6104",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.