Individual provider Active NPI

Ryan John Haldeman, D.D.S,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Flat Rock, NC
National Provider Identifier
1659462471
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7367 Issued in NC
Practice address
777 S Allen Rd
Flat Rock, NC 28731-9439
Phone
(828) 595-9177
NPI assigned
Sep 27, 2006
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 7367 NC
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7367 NC Primary

Addresses

Primary practice location

777 S Allen Rd
Flat Rock, NC 28731-9439

Mailing address

453 Coopers Hawk Dr
Asheville, NC 28803-6102
Phone (828) 329-7745

Other practice location 1

151 McBrayer Dr
Rutherfordton, NC 28139-2552
Phone (828) 276-8479

Other identifiers 2

IdentifierTypeStateIssuer
013WFOtherNCNC HEALTH CHOICE
89013WFMedicaidNC

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7367NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Chambers, Baechtold,McKenzie and Haldeman, D.D.S.,P.a. Pediatric Dentistry Past Accepting new patients
J. Eric Dollinger, DDS, PA PastSince Apr 14, 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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1659462471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 COOPERS HAWK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288036102",
            "telephone_number": "828-329-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319439",
            "telephone_number": "828-595-9177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 McBrayer Dr",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281392552",
            "country_code": "US",
            "telephone_number": "828-276-8479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALDEMAN",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7367",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "7367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "013WF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013WF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.