Ryan Dahlquist, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2014017649 Issued in MO

Practice address

1508 NW Mock Ave
#A
Blue Springs, MO 64015

Phone

(816) 228-7176

NPI assigned

May 27, 2015

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

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.

Enrollment records 1

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 and National Provider Directory roles.

• Carl H. Dahlquist D.D.S.,LLC

  • Dentist
  • Blue Springs, MO
  • NPI 1356689376
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1487033148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 NW MOCK AVE",
            "address_2": "#A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64015",
            "telephone_number": "816-228-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 NW MOCK AVE",
            "address_2": "#A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64015",
            "telephone_number": "816-228-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLQUIST",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014017649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Cullen, D.O.
• Cynthia J Caputo MD PC
• D & M Dental Services, LLC
• D. Mark Monheiser, D.D.S.P.C.
• Carlyle Holbrook Dahlquist, DDS
• Khaled Ahmed Dahman
• Katherine Dake, DPT
• Laura Grace Daugherty, PTA
• Jeremy Michael Daves, CRNA
• Amelia Marie Davis, RN

• Dentist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.