Ryan Daniel Pensyl, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

16067 Issued in MD

Practice address

12600 Winchester Rd.
Cumberland, MD 21502

Phone

(301) 729-0444

Fax

(301) 729-0404

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ryan D Pensyl, DMD, PA

  • General Practice Dentistry
  • Cumberland, MD
  • NPI 1073022562
  NPD
• Lynne S Brodell DDS

  • General Practice Dentistry
  • Lavale, MD
  • NPI 1437223682
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1629186804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 WINCHESTER RD.",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-729-0444",
            "fax_number": "301-729-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 WINCHESTER RD.",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-729-0444",
            "fax_number": "301-729-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSYL",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036965",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110468300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mevla Paunovic
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• William Lee Pearson, RPH
• Pediatrix of Maryland PA
• Heather P Peirce, M.D.
• Reina E Perdew, FNP-C
• Perini Services Devlin Manor Limited Partnership
• Ashley Perkins, PHARM.D.
• Jennifer Ann Perrin, R.D.
• Megan Gordon Perry

• Dentist in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.