Active NPI
Ryan A Street, DDS
- General Practice Dentistry
- Amarillo, TX
National Provider Identifier
1578606901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21834
- Practice address
- 4525 Van Winkle Dr
Amarillo, TX 79119 - Phone
- (806) 355-7463
- Fax
- (806) 355-6014
- NPI assigned
- Feb 15, 2007
- Last updated
- Aug 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21834 | TX | Primary |
Addresses
Primary practice location
4525 Van Winkle Dr
Amarillo, TX 79119
Mailing address
7201 W 34TH Ave
Amarillo, TX 79109-3900
Phone (806) 355-7463
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 |
|---|---|---|---|
| 21834 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarillo Dental Associates | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1578606901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 W 34TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093900",
"telephone_number": "806-355-7463",
"fax_number": "806-355-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 VAN WINKLE DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79119",
"telephone_number": "806-355-7463",
"fax_number": "806-355-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "RYAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Chelsea Patricia Strand, LPC
- Rhys Patrick Strasia, D.D.S.
- Stratford Hospital District (Hillside Heights Rehabilitation Suites)
- Stratford Hospital District (Kirkland Court Health and Rehabilitation)
- Stratford Hospital District (Legacy Rehabilitation and Living)
- Holly Strickland
- Jeffrey S Striley, LPC-A
- Tracy Striley, LPC
- Grace Lea Stringfellow, M.D.
- Strive Therapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.