Ryan a Draiss DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5781 Issued in AL

Legal business name

RYAN A DRAISS DMD LLC

Doing business as

Chelsea Comprehensive Dental

Practice address

407 Chelsea Crossroads
Chelsea, AL 35043-3901

Phone

(205) 370-7499

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ryan A Draiss, DMDNPI 1851606925

Title

Owner

Phone

(205) 370-7499

Specialties & licenses 1

Addresses

Other names 1

• Chelsea Comprehensive Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan A Draiss, DMD

  • Dentist
  • Chelsea, AL
  • NPI 1851606925
  NPD Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1457629198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CHELSEA CROSSROADS",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350433901",
            "telephone_number": "205-370-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CHELSEA CROSSROADS",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350433901",
            "telephone_number": "205-370-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN A DRAISS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "DRAISS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-370-7499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chelsea Comprehensive Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Chelsea, AL
• Providers in Chelsea, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.