Ryan a Paulson DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RYAN A PAULSON DDS PC

Practice address

928 S Garfield Ave
Traverse City, MI 49686-2403

Phone

(231) 883-6946

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Ryan Paulson, DDSNPI 1528126398

Title

Owner/Operator

Phone

(231) 935-4872

Specialties & licenses 1

Addresses

Electronic endpoints 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 Paulson, DDS

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1528126398
  NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1467184580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862403",
            "telephone_number": "231-883-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862403",
            "telephone_number": "231-883-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN A PAULSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "231-935-4872",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gtsmilecenter.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "928 S Garfield Ave",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496862403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kerry Bruce Russell, D.C., C.C.S.P.
• Krsity Marie Russell
• Mariah Lynn Russell
• Naila Christine Russell, DNP, FNP-BC
• Samantha M Ruth, MA LLP
• Jenifer Ryan, LMSW
• Kelly Ryan, PMHNP-BC, APRN-CNP
• Shoba Sosale-Berkuchel Ryan, DNP, PMHNP-BC
• Tara J Rybicki, R.D.
• Kristen Ryder, SSP, LLMSW-C

• Dental Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.