Ryan Thomas Leary, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10480 Issued in CO

Practice address

994 W Dillon Rd Ste 400
Louisville, CO 80027-8404

Phone

(303) 673-0500

Fax

(303) 673-0505

NPI assigned

Jul 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Louisville Dental Prof. LLP

  • General Practice Dentistry
  • Louisville, CO
  • NPI 1013256874
  NPD Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1669769030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W DILLON RD STE 400",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800278404",
            "telephone_number": "303-673-0500",
            "fax_number": "303-673-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W DILLON RD STE 400",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800278404",
            "telephone_number": "303-673-0500",
            "fax_number": "303-673-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Conrad Laperriere, M.D.
• Douglas Scott Larner, NP
• Elizabeth Whitley Lassen, PSYD
• Mariah Lauritsen
• Marcie Lavigne, M.D.
• Yaejin Lee
• Colin Leffert, DO
• Legacy Project LLC Dba Therapy Matters LLC
• Ross M Leibovitz, M.D.
• Jordan Lenkin, PT

• General Practice Dentistry in Louisville, CO
• Providers in Louisville, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.