Ryan C. Shipp,DMD,Ms,PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

RYAN C. SHIPP,DMD,MS,PC

Practice address

9053 S Pecos Rd Ste 3000
Henderson, NV 89074-7179

Phone

(702) 798-4723

Fax

(702) 798-0911

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Christine S Keane-Trachsel

Title

Administrator

Phone

(208) 672-8860

Specialties & licenses 1

Addresses

Other names 1

• Shipp Endodontics Doing business as

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1669198701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9053 S PECOS RD STE 3000",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747179",
            "telephone_number": "702-798-4723",
            "fax_number": "702-798-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 S PECOS RD STE 3000",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747179",
            "telephone_number": "702-798-4723",
            "fax_number": "702-798-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN C. SHIPP,DMD,MS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "KEANE-TRACHSEL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-672-8860"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shipp Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Russo
• Stephaine Russo
• Adam Kelsey Russon, DO
• Randy Rutkin, MFT
• Ariane Ashimwe Ruyombyana
• Ryan E. Mitchell DO PLLC
• Ryan J. Grabow, MD, LTD
• Allison Pope Ryan, D.O.
• Lori Jean Ryan
• Wendy A Ryan, LCSW

• Endodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.