Individual provider Active NPI

Ryan Jonathon Rinke, DDS

  • General Practice Dentistry
  • Chesterfield, MI
National Provider Identifier
1457374175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018448 Issued in MI
Practice address
34301 23 Mile Rd
Suite #140B
Chesterfield, MI 48047-4432
Phone
(586) 725-7571
Fax
(586) 725-6671
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018448 MI Primary

Addresses

Primary practice location

34301 23 Mile Rd
Suite #140B
Chesterfield, MI 48047-4432

Mailing address

34301 23 Mile Rd
Suite #140B
Chesterfield, MI 48047-4432
Phone (586) 725-7571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161221001469 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951682491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018448MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457374175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34301 23 MILE RD",
            "address_2": "SUITE #140B",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474432",
            "telephone_number": "586-725-7571",
            "fax_number": "586-725-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34301 23 MILE RD",
            "address_2": "SUITE #140B",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474432",
            "telephone_number": "586-725-7571",
            "fax_number": "586-725-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINKE",
        "first_name": "RYAN",
        "middle_name": "JONATHON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.