Ryan Towner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010349 Issued in AZ

Practice address

742 E Glendale Ave Ste 118
Phoenix, AZ 85020-5352

Phone

(602) 491-0887

Fax

(602) 333-7690

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Towner DMD, PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1578416251
  NPD Authorized official
• Camelback Smiles Dentistry, LLP

  dba Camelback Smiles Dentistry

  • Dentist
  • Phoenix, AZ
  • NPI 1316300783
  NPD (past)
• Promenade Dental Group, LLP

  dba Promenade Dental Group

  • General Practice Dentistry
  • Tolleson, AZ
  • NPI 1285798462
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1457911976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 E GLENDALE AVE STE 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205352",
            "telephone_number": "602-491-0887",
            "fax_number": "602-333-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 E GLENDALE AVE STE 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205352",
            "telephone_number": "602-491-0887",
            "fax_number": "602-333-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNER",
        "first_name": "RYAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Tow
• Richard Towbin, M.D.
• Daniel Towers, RN
• Fausto Towers, MS, BCBA, LBA
• Alexandra Towne, PA
• Liam Townley
• David K Towns, MD
• Essence A Townsend
• Glenn Philip Townsend, NP-C
• Nichole Townsend, MD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.