Individual provider Active NPI

Ryan C Cowan, DDS PC

  • General Practice Dentistry
  • Hillsboro, TX
National Provider Identifier
1790909018
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22678 Issued in TX
Practice address
201 Old Brandon Rd
Hillsboro, TX 76645-2326
Phone
(254) 582-9555
Fax
(254) 582-8477
NPI assigned
Apr 11, 2007
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
General Practice Dentistry 1223G0001X 22678 TX Primary

Addresses

Primary practice location

201 Old Brandon Rd
Hillsboro, TX 76645-2326

Mailing address

PO Box 1017
Hillsboro, TX 76645-1017
Phone (254) 582-9555

Other practice location 1

3646 Granbury Rd Ste 100
Fort Worth, TX 76109-3717
Phone (817) 927-8500

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan C Cowan DDS PC General Practice CurrentSince Nov 3, 2019 Accepting new patients

Locations

201 Old Brandon Rd
Hillsboro, TX 76645
Phone (254) 582-9555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1790909018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766451017",
            "telephone_number": "254-582-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD BRANDON RD",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452326",
            "telephone_number": "254-582-9555",
            "fax_number": "254-582-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3646 Granbury Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761093717",
            "country_code": "US",
            "telephone_number": "817-927-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "RYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.