Individual provider Active NPI

William P Ryan, D.M.D.

  • General Practice Dentistry
  • Winsted, CT
National Provider Identifier
1548354012
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6363 Issued in CT
Practice address
10 Hinsdale Ave
Winsted, CT 06098
Phone
(860) 379-4382
Fax
(860) 738-4720
NPI assigned
Oct 2, 2006
Last updated
Dec 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6363 CT
General Practice Dentistry 1223G0001X 6363 CT Primary

Addresses

Primary practice location

10 Hinsdale Ave
Winsted, CT 06098

Mailing address

10 Hinsdale Ave
Winsted, CT 06098
Phone (860) 379-4382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6363CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
KP Dental Inc General Practice PastSince May 12, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1548354012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HINSDALE AVE",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-379-4382",
            "fax_number": "860-738-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HINSDALE AVE",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-379-4382",
            "fax_number": "860-738-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "6363",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, CT

Sources for this page

Verify at the official NPI Registry.