Vicky Rae Ryan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044417 Issued in NY

Practice address

50 Presidential PLZ
Suite 105
Syracuse, NY 13202-2229

Phone

(315) 472-1186

Fax

(315) 472-7303

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Vicky Ryan Haskins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780606590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6881 WOODCHUCK HILL RD",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130669746",
            "telephone_number": "315-445-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PRESIDENTIAL PLZ",
            "address_2": "SUITE 105",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022229",
            "telephone_number": "315-472-1186",
            "fax_number": "315-472-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "VICKY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044417",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DY31693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "HASKINS",
            "middle_name": "RYAN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrick Alvin Ryan, LICSW
• Rebecca A Ryan
• Stephanie Ryan
• Suzanne C Ryan, NP
• Taylor Ryan
• Cynthia Rybak, NP
• Jean Rybinski, PA
• Kristen Ryder, CRNA
• Marcia H Ryder, N.P.
• Megan Noel Rynkiewicz, DC

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Dentistry in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.