Individual provider Active NPI

Ryan T McGary, DMD

  • Periodontics
  • Columbia, SC
National Provider Identifier
1699184648
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10006 Issued in SC
Practice address
4323 Hill St
Columbia, SC 29207-6022
Phone
(803) 751-6209
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9054856-9921 UT
Periodontics 1223P0300X 90548569921 UT
Periodontics 1223P0300X 10006 SC Primary

Addresses

Primary practice location

4323 Hill St
Columbia, SC 29207-6022

Mailing address

38717 38TH Street
BLDG
Fort Gordom, GA 30905-5660
Phone (706) 787-6927

Other practice location 1

464 Maple Valley Loop
Blythewood, SC 29016-6004
Phone (801) 529-8474

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
9054856-9921UTMDDentist
10006SCMDPeriodontist
90548569921UTMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1699184648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38717 38TH STREET",
            "address_2": "BLDG",
            "city": "FORT GORDOM",
            "state": "GA",
            "postal_code": "309055660",
            "telephone_number": "706-787-6927",
            "fax_number": "706-787-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 HILL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076022",
            "telephone_number": "803-751-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Maple Valley Loop",
            "address_purpose": "LOCATION",
            "city": "Blythewood",
            "state": "SC",
            "postal_code": "290166004",
            "country_code": "US",
            "telephone_number": "801-529-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGARY",
        "first_name": "RYAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9054856-9921",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "90548569921",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "10006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

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