Active NPI
Ryan James Lanman, D.D.S. M.S.D.
- Periodontics
- Oklahoma City, OK
National Provider Identifier
1669614137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6272
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan J Lanman, DDS, MSD, PC | Periodontics | Current | 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.
-
- Periodontics
- Oklahoma City, OK
- NPI 1730892290
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.