Ryan T Tyng, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4130 Issued in ID

Practice address

13108 W Persimmon LN
Boise, ID 83713-1986

Phone

(208) 377-2160

NPI assigned

Jul 15, 2008

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)

Not enrolled

State licenses

Practice roles

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.

• Crossroads Family Dentistry

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1396137907
  NPD Authorized official
• Ryan Tyng, DMD Professional Inc

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1881149300
  NPD
• Dennis J. Garpetti, DDS, P.C.

  • General Practice Dentistry
  • Boise, ID
  • NPI 1699930404
  NPD (past)
• Idaho Buckeye Inc

  • Dental Clinic/Center
  • Payette, ID
  • NPI 1083279087
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1780848176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13108 W PERSIMMON LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131986",
            "telephone_number": "208-377-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13108 W PERSIMMON LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131986",
            "telephone_number": "208-377-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNG",
        "first_name": "RYAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Twomey, MD
• Tyler J Smith,PA
• Amanda Tyler, LPC
• Samuel Wat Tyler, PT, DPT
• Ashley Tyner, DPT
• Damiana L Uberuaga, LCSW
• Calvin Woodrow Udall, BS QIDP
• Ryan Brent Udink, D.O.
• Kahdi F Udobi, MD
• Rebekah Ugarte Arostegui, B.S.

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.