Active NPI
Ryan Lloyd Lindner, DDS
- Dentist
- Minneapolis, MN
National Provider Identifier
1790805109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11117
- Practice address
- 4243 4TH Ave S
Minneapolis, MN 55409-2113 - Phone
- (612) 822-9030
- Fax
- (612) 821-2818
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 | D11117 | MN | Primary |
Addresses
Primary practice location
4243 4TH Ave S
Minneapolis, MN 55409-2113
Mailing address
PO Box 580438
Minneapolis, MN 55458-0438
Phone (612) 382-7926
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11117 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790805109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580438",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554580438",
"telephone_number": "612-382-7926",
"fax_number": "612-821-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 4TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554092113",
"telephone_number": "612-822-9030",
"fax_number": "612-821-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDNER",
"first_name": "RYAN",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D11117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- 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.