Active NPI
Mark Harvey Ryan, DDS
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1477626828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2299
- Practice address
- 7500 E McDonald Drive
Ste 101 B
Scottsdale, AZ 85250 - Phone
- (480) 998-4150
- Fax
- (480) 948-5153
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2299 | AZ | Primary |
Addresses
Primary practice location
7500 E McDonald Drive
Ste 101 B
Scottsdale, AZ 85250
Mailing address
7500 E McDonald Drive
Ste 101 B
Scottsdale, AZ 85250
Phone (480) 998-4150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2299 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477626828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 E MCDONALD DRIVE",
"address_2": "STE 101 B",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85250",
"telephone_number": "480-998-4150",
"fax_number": "480-948-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 E MCDONALD DRIVE",
"address_2": "STE 101 B",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85250",
"telephone_number": "480-998-4150",
"fax_number": "480-948-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MARK",
"middle_name": "HARVEY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "2299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.