Ryann Bevilacqua, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

053373-1 Issued in NY

Practice address

6501 Transit Road
East Amherst, NY 14052-1427

Phone

(716) 689-0313

NPI assigned

Aug 13, 2007

Sex

Female

Sole proprietor

Yes

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.

• LB Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • East Amherst, NY
  • NPI 1508053711
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1588856751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 TRANSIT ROAD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14052",
            "telephone_number": "716-689-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 TRANSIT ROAD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140521427",
            "telephone_number": "716-689-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILACQUA",
        "first_name": "RYANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "053373-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Ann Berger, NYS LHMC
• Benjamin Bermudez
• Kelly Jean Bernier, RPH
• Marta Ellen Best, M.S.
• Bettersmile of W.N.Y., PLLC
• Madeline Bilicki
• Lindsay Bilson, PT DPT
• Austin Blaszak
• Leah F Blum, MA, CCC/SLP
• John J Bodkin II, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.