Ryan O'Malley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.6921 GD Issued in SC

Practice address

419 SE Main St Ste 100
Simpsonville, SC 29681-2674

Phone

(864) 962-4140

Fax

(864) 962-4142

NPI assigned

Jul 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1710290663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SE MAIN ST STE 100",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812674",
            "telephone_number": "864-962-4140",
            "fax_number": "864-962-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SE MAIN ST STE 100",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812674",
            "telephone_number": "864-962-4140",
            "fax_number": "864-962-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.6921 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc. (Hearing Healthcare Center, Inc)
• Nutrio Pediatric Therapy, LLC
• Ryan A O'Bleness, D.C.
• Julie O'Connor
• Amanda Gayle O'Kelly, M.D.
• Chelsie O'Sullivan, DMD
• Oakview Medical Associates LLC
• Oasis Mental Care LLC
• Kathryn Morrow Odom, PH.D.
• Sharon Lisa Odom

• General Practice Dentistry in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• General Practice Dentistry in South Carolina

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

Verify at the official NPI Registry.