Ryan Colaianni, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN29528 Issued in FL

Practice address

228 3Rd Ave N Ste 200
Jacksonville Beach, FL 32250-7045

Phone

(904) 247-3074

NPI assigned

Jun 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Dental Studio PLLC

  • Dental Clinic/Center
  • St Augustine, FL
  • NPI 1659251882
  Authorized official Same address or phone
• Paul Hinder DDS PLLC

  • Customized Equipment (DME)
  • Jacksonville Beach, FL
  • NPI 1427340900
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1679203764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 TRIPP RD",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460640406",
            "telephone_number": "407-961-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 3RD AVE N STE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507045",
            "telephone_number": "904-247-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 W McGalliard Rd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473042210",
            "country_code": "US",
            "telephone_number": "765-282-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLAIANNI",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014253A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Ann Clark, LUCY CLARK
• Cleveland Randolph, Jr, MD, PA (C.W.Randolph's Pharmacy)
• Cleveland W Randolph, Jr, MD, PA (Dr. Randolph's Ageless & Wellness Medical Center)
• Coastal Therapy & Learning Center, Inc.
• Cogent Healthcare of Pensacola LLC
• Abigail L Colarusso, OTD, OTR/L
• Sara L Colby, MD
• Collective Wellness LLC
• Patricia A Collier, ARNP
• Kayla Collins

• Dentist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.