Ryan Hartley DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RYAN HARTLEY DMD PLLC

Practice address

954 52ND St SE
Kentwood, MI 49508-6004

Phone

(616) 724-1780

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Ryan Hartley, DMDNPI 1932800661

Title

Owner

Phone

(616) 460-3838

Specialties & licenses 1

Addresses

Other names 1

• Kentwood Family Dentistry Doing business as

Practitioners 1

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

• Ryan Hartley, DMD

  • Dentist
  • Grand Rapids, MI
  • NPI 1932800661
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1497592414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086004",
            "telephone_number": "616-724-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086004",
            "telephone_number": "616-724-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN HARTLEY DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-460-3838",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentwood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebecca Jo Ryan, SLP
• Nicholas Saarela, MA, LLMSW
• Bethani Joy Sadler, BEHAVIOR TECHNICIAN
• Saint Anne Medical Center
• Sam'S Club Optical

• Dental Clinic/Center in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.