Ryan J. Colburn DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3985 Issued in SC

Legal business name

RYAN J. COLBURN DDS, LLC

Practice address

1410A John B White Blvd
Spartanburg, SC 29306-3927

Phone

(864) 574-5297

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ryan J. Colburn, DDS

Title

President

Phone

(864) 574-5297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1801069166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410A JOHN B WHITE BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063927",
            "telephone_number": "864-574-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410A JOHN B WHITE BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063927",
            "telephone_number": "864-574-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN J. COLBURN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-574-5297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Austin Russell, AGACNP
• Kristen Russell, APRN
• Stephanie Russell, RN
• Bethany Rutsay, LCSW
• Adam D Rutter, DMD
• Forrest P Ryan Jr., MD
• Christopher S Rydzewski
• S.a.V.E.D Community Services, LLC
• Saad Upstate Neurology, P.a.
• Amy Bostic Saad, PHARMD

• Dental Clinic/Center in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.