Bernard E Ryan DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019015907 Issued in IL

Legal business name

BERNARD E RYAN DDS PC

Practice address

9 Briarcliff Prof Ctr Suite D
Bourbonnais, IL 60914-2429

Phone

(815) 932-9695

Fax

(815) 929-0582

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bernard E Ryan Jr., DDSNPI 1194935759

Title

President

Phone

(815) 932-9695

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bernard Eugene Ryan II, D.D.S.

  • Dentist
  • Bourbonnais, IL
  • NPI 1194935759
  NPD (past) Authorized official
• Mark Daniel Ryan, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jbsa Lackland, TX
  • NPI 1023354388
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1467615716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRIARCLIFF PROFESSIONAL CENTER",
            "address_2": "SUITE D",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142429",
            "telephone_number": "815-932-9695",
            "fax_number": "815-929-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRIARCLIFF PROF CTR SUITE D",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142429",
            "telephone_number": "815-932-9695",
            "fax_number": "815-929-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD E RYAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-932-9695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019015907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabiz Behzadpour, DO
• Emily Jacqueline Belschner
• Bemyhope Inc.
• Daniel N Benoit, DPM
• Emily Catherine Benson I
• Davina Monique Betts, PA-C
• Nikhil Bhargava, DO
• Ashmeet Kaur Bhatti
• Kristina Marie Billadeau, LPC
• Kelsey Ann Billington, LPC

• Dental Clinic/Center in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.