Ryan Bare, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29174 Issued in FL

Practice address

306 Pilaklakaha Ave
Auburndale, FL 33823-3351

Phone

(123) 386-3967

NPI assigned

Jun 28, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1487499661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 PARTRIDGE DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PILAKLAKAHA AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233351",
            "telephone_number": "123-386-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARE",
        "first_name": "RYAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "29174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isha Leigh Axson
• Amarilis Ayala, ARNP
• Bibi Zalina Baksh
• Theresa Ballard, PHARMD
• Jon Larry Barber, O.D.
• Baycare Medical Group Inc
• Robert Bradford Beatty, LCSW
• Jeff Ryan Beeman, PHARM.D
• Travis Bernard, APRN
• Bio-Medical Applications of Florida, Inc.

• General Practice Dentistry in Auburndale, FL
• Providers in Auburndale, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.