Active NPI
Ryan A Long, DDS
- Dentist
- Dayton, OH
National Provider Identifier
1740459783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-023868
- Practice address
- 2591 Miamisburg-Centerville Rd
Suite 200
Dayton, OH 45459 - Phone
- (937) 434-3757
- NPI assigned
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-023868 | OH | Primary |
Addresses
Primary practice location
2591 Miamisburg-Centerville Rd
Suite 200
Dayton, OH 45459
Mailing address
51 Glencroft PL
Dayton, OH 45459-4805
Phone (608) 630-2382
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023868 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Family Dental Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Madison, WI
- NPI 1306838396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1740459783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 GLENCROFT PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594805",
"telephone_number": "608-630-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2591 MIAMISBURG-CENTERVILLE RD",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-434-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "RYAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-023868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.