Active NPI
William Ross Ryan, D.D.S.
- General Practice Dentistry
- Edmond, OK
National Provider Identifier
1669467171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4859
- Practice address
- 13912 N. Western
Edmond, OK 73013 - Phone
- (405) 840-5591
- Fax
- (405) 840-5542
- NPI assigned
- Sep 12, 2005
- Reactivated
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4859 | OK | Primary |
Addresses
Primary practice location
13912 N. Western
Edmond, OK 73013
Mailing address
1200 NW 149TH St
Edmond, OK 73013-1518
Phone (405) 401-8858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4859 | OK | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1669467171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NW 149TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131518",
"telephone_number": "405-401-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13912 N. WESTERN",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-840-5591",
"fax_number": "405-840-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "WILLIAM",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.