Active NPI
Ryan John Haldeman, D.D.S,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Flat Rock, NC
National Provider Identifier
1659462471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7367
- Practice address
- 777 S Allen Rd
Flat Rock, NC 28731-9439 - Phone
- (828) 595-9177
- NPI assigned
- Sep 27, 2006
- Last updated
- Apr 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013WF | Other | NC | NC HEALTH CHOICE |
| 89013WF | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7367 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Chambers, Baechtold,McKenzie and Haldeman, D.D.S.,P.a. | Pediatric Dentistry | Past | Accepting new patients |
| J. Eric Dollinger, DDS, PA | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Asheville, NC
- NPI 1225129067
Pediatric Dentistry
-
- Dentist
- Flat Rock, NC
- NPI 1629522487
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.