Individual provider Active NPI

Ryan James Lanman, D.D.S. M.S.D.

  • Periodontics
  • Oklahoma City, OK
National Provider Identifier
1669614137
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6272 Issued in OK
Practice address
3621 NW 63Rd St Ste I
Oklahoma City, OK 73116-2041
Phone
(405) 840-2834
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 6272 OK Primary

Addresses

Primary practice location

3621 NW 63Rd St Ste I
Oklahoma City, OK 73116-2041

Mailing address

3621 NW 63Rd St # I
Oklahoma City, OK 73116-2041
Phone (405) 840-2834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 28, 2016 through Mar 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan J Lanman, DDS, MSD, PC Periodontics CurrentSince Jan 1, 2023 Accepting new patients

Locations

3621 NW 63rd St
Ste I
Oklahoma City, OK 73116
Phone (405) 840-2834

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1669614137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 NW 63RD ST # I",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162041",
            "telephone_number": "405-840-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 NW 63RD ST STE I",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162041",
            "telephone_number": "405-840-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANMAN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "6272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.