NPIMap

Organization Active NPI

Robert J Ryan DDS PC

  • Periodontics
  • Mount Prospect, IL
National Provider Identifier
1740377480
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
215965 Issued in IL
Legal business name
ROBERT J RYAN DDS PC
Practice address
601 W Central Rd
Suite 9
Mt Prospect, IL 60056
Phone
(847) 506-1144
Fax
(847) 506-1149
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Robert J Ryan, DDSNPI 1780771436
Title
President
Phone
(847) 506-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 215965 IL Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 19A15156 IL

Addresses

Primary practice location

601 W Central Rd
Suite 9
Mt Prospect, IL 60056

Mailing address

601 W Central Rd
Suite 9
Mt Prospect, IL 60056
Phone (847) 506-1144

National Provider Directory

National Provider Directory

Locations

601 W Central Rd
Ste 9
Mt Prospect, IL 60056
Phone (847) 506-1144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1740377480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W CENTRAL RD",
            "address_2": "SUITE 9",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-506-1144",
            "fax_number": "847-506-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W CENTRAL RD",
            "address_2": "SUITE 9",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-506-1144",
            "fax_number": "847-506-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J RYAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-506-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "215965",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "19A15156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.