Ryan M Payne DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RYAN M PAYNE DMD PC

Practice address

1975 S Broadway Ave
Boise, ID 83706-4201

Phone

(208) 345-8255

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Ryan M Payne

Title

President

Phone

(208) 345-8255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1538548011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 S BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064201",
            "telephone_number": "208-345-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 S BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064201",
            "telephone_number": "208-345-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN M PAYNE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-345-8255"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine Winfree Ryan, MD
• Helen Elizabeth Ryan
• Margaret Elizabeth Ryan, D.C.

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.