J.D Ryan DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30013969 Issued in OH

Legal business name

J.D RYAN DDS, INC.

Doing business as

Smilemakers family dental group west

Practice address

779 Harrisburg Pike
Columbus, OH 43223-2113

Phone

(614) 276-6226

Fax

(614) 276-6129

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen R Avery

Title

Company Manager

Phone

(614) 276-6226

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smilemakers family dental group west Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John D Ryan III, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbus, OH
  • NPI 1427139799
  NPD (past)
• Travis Ryan, DDS

  • Dentist
  • Columbus, OH
  • NPI 1750462032
  NPD (past)
• Hani Sadek, DDS

  • Dentist
  • Columbus, OH
  • NPI 1447331715
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1710157250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 HARRISBURG PIKE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432232113",
            "telephone_number": "614-276-6226",
            "fax_number": "614-276-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 HARRISBURG PIKE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432232113",
            "telephone_number": "614-276-6226",
            "fax_number": "614-276-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.D RYAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COMPANY MANAGER",
        "authorized_official_telephone_number": "614-276-6226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30013969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smilemakers family dental group west",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth F Izolt
• Izuchukwu Okpara MD (Oh), Inc. (Omni Wound Physicians Ohio)
• Tracey Lynn Izzard, LPCC, LICDC
• J Robert Padberg, PHD
• J. Clarke Sanders, DDS-Reynoldsburg LLC (East Side Family Dental)
• J&Centerprisellc
• J2Healthcare, LLC
• Ja Miller and Company (Medigard Pharmacy)
• Dawood Jabbar
• Hawa J Jabbie, LPN

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.