Active NPI
Ryan Joseph Hanks, D.D.S.
- General Practice Dentistry
- Puyallup, WA
National Provider Identifier
1679705271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DENT.DE.60106572
- Practice address
- 8012 112TH Street CT E
160
Puyallup, WA 98373-7856 - Phone
- (253) 840-0789
- Fax
- (253) 841-6832
- NPI assigned
- Aug 14, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DENT.DE.60106572 | WA | Primary |
Addresses
Primary practice location
8012 112TH Street CT E
160
Puyallup, WA 98373-7856
Mailing address
8012 112TH Street CT E
160
Puyallup, WA 98373-7856
Phone (253) 840-0789
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
| License | State | Type | Specialty |
|---|---|---|---|
| DENT.DE.60106572 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1679705271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8012 112TH STREET CT E",
"address_2": "160",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983737856",
"telephone_number": "253-840-0789",
"fax_number": "253-841-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 112TH STREET CT E",
"address_2": "160",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983737856",
"telephone_number": "253-840-0789",
"fax_number": "253-841-6832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKS",
"first_name": "RYAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-14",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DENT.DE.60106572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.