Ryan Daniel Overby, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11336 Issued in KY

Practice address

720 S 7TH St
Mayfield, KY 42066-3032

Phone

(270) 247-7173

NPI assigned

May 26, 2025

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

Opted out of Medicare

Yes, effective Jun 10, 2025 through Jun 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Overby Family Dentistry

  • Dental Clinic/Center
  • Mayfield, KY
  • NPI 1326904863
  NPD Authorized official

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1497548283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 STATE ROUTE 2205",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420664760",
            "telephone_number": "270-339-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 7TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663032",
            "telephone_number": "270-247-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBY",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "11336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nna of Paducah, LLC
• Harold Ann Nowlin, LMT
• Caitlin Odom, PA-C
• Janet Ogg, LPCC
• Overby Family Dentistry
• Lacie Marie Parham, APRN
• Richard Lee Parker, D.C.
• Rebecca Patterson
• Teena Patty, CRNA
• Peak Rehabcare, LLC

• General Practice Dentistry in Mayfield, KY
• Providers in Mayfield, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.