Ryan Hutton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418912 Issued in VA

Practice address

7051 Williamson Rd
Hollins, VA 24019-4230

Phone

(540) 366-1001

NPI assigned

May 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

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.

• Andrew W Henritze DDS PLLC

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1710478110
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1508606583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 WILLIAMSON RD",
            "city": "HOLLINS",
            "state": "VA",
            "postal_code": "240194230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 WILLIAMSON RD",
            "city": "HOLLINS",
            "state": "VA",
            "postal_code": "240194230",
            "telephone_number": "540-366-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Daniels Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "VA",
            "postal_code": "240781370",
            "country_code": "US",
            "telephone_number": "276-647-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3604 Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240183612",
            "country_code": "US",
            "telephone_number": "540-989-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adjoa Biamah Agyekum
• Kasey Creasy
• Amanda Ashley Crews, NP-C
• Yvonne Barrow Glass, RPH
• Antonio Seymour Hamlette, FNP
• Linda Jo McPhail, FNP-C
• Stephen M Morton
• Tami Jo Pebsworth, CSAC
• Roanoke Pediatric Dre LLC
• Rachel Rodgers, LCSW

• General Practice Dentistry in Hollins, VA
• Providers in Hollins, VA by specialty
• General Practice Dentistry in Virginia

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