John F Ryan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17271 Issued in MA

Practice address

114 Waltham St
Lexington, MA 02421-5415

Phone

(781) 862-0350

NPI assigned

Apr 12, 2007

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730303926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WALTHAM ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215415",
            "telephone_number": "781-862-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WALTHAM ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215415",
            "telephone_number": "781-862-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Rossman, PH.D.
• Ellen A Roth, M.S.W.
• Suraja Menon Roychowdhury, PHD, LICAC, MAOM
• Alicia R Ruby, NP
• Kristin Stanley Rullo, OD
• Kristina A. Ryan, MAC,LAC
• Pamela S Ryle, MS, OTR, L
• Lauren Sabella
• Paul Sablone
• Jessie Sadin, N/A

• General Practice Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.