Active NPI
Ryan Barrett
- Dentist
- Myrtle Beach, SC
National Provider Identifier
1508279506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10364
- Practice address
- 516 Woods Bay CT
Myrtle Beach, SC 29579-3745 - Phone
- (718) 208-7074
- NPI assigned
- Jun 6, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 058448 | NY | |
| Dentist | 122300000X | 13188 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 10364 | SC | Primary |
Addresses
Primary practice location
516 Woods Bay CT
Myrtle Beach, SC 29579-3745
Mailing address
516 Woods Bay CT
Myrtle Beach, SC 29579-3745
Phone (718) 208-7074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13188 | NC | MD | Professional Counselor |
| 058448 | NY | MD | Dentist |
| 10364 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1508279506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 WOODS BAY CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793745",
"telephone_number": "718-208-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 WOODS BAY CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793745",
"telephone_number": "718-208-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "RYAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058448",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13188",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "10364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.