Individual provider Active NPI

Jiny Ryou

  • General Practice Dentistry
  • Dalton, GA
National Provider Identifier
1609708296
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN124230 Issued in GA
Practice address
2107 E Walnut Ave
Dalton, GA 30721-4552
Phone
(762) 227-1784
NPI assigned
May 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN124230 GA Primary

Addresses

Primary practice location

2107 E Walnut Ave
Dalton, GA 30721-4552

Mailing address

1400 E 105TH St Apt 307
Cleveland, OH 44106-1107
Phone (330) 766-5874

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

NPI Registry JSON

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

{
    "created_epoch": "1780099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1609708296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 105TH ST APT 307",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061107",
            "telephone_number": "330-766-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214552",
            "telephone_number": "762-227-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYOU",
        "first_name": "JINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN124230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.