Individual provider Active NPI

Ryan Duong

  • Dentist
  • Commerce City, CO
National Provider Identifier
1679206346
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00205268 Issued in CO
Practice address
6091 Dexter St
Commerce City, CO 80022-3125
Phone
(303) 325-3209
NPI assigned
Jul 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00205268 CO Primary

Addresses

Primary practice location

6091 Dexter St
Commerce City, CO 80022-3125

Mailing address

6091 Dexter St
Commerce City, CO 80022-3125

Other practice location 1

250 E Colfax Ave
Bennett, CO 80102-8825
Phone (303) 644-5058

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

LicenseStateTypeSpecialty
00205268COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Dental PLLC Current Accepting new patients
Open and Affordable Dental Littleton West PLLC Dentist PastSince Feb 8, 2023 Accepting new patients
Commerce City Dental Partners PLLC PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 3

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1679206346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 DEXTER ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 DEXTER ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223125",
            "telephone_number": "303-325-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Bennett",
            "state": "CO",
            "postal_code": "801028825",
            "country_code": "US",
            "telephone_number": "303-644-5058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.