Individual provider Active NPI

Ryan Warner Hanry, DDS

  • Pediatric Dentistry
  • El Dorado, AR
National Provider Identifier
1801091012
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
65 Issued in AR
Practice address
347 W Oak St Ste B
El Dorado, AR 71730-4564
Phone
(870) 862-4543
Fax
(870) 862-4542
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 65 AR Primary
Dentist 122300000X 3628 AR

Addresses

Primary practice location

347 W Oak St Ste B
El Dorado, AR 71730-4564

Mailing address

347 W Oak St Ste B
El Dorado, AR 71730-4564
Phone (870) 862-4543

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

LicenseStateTypeSpecialty
3628ARMDDentist
65ARMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Hanry, DDS, PA Pediatric Dentistry Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1801091012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 W OAK ST STE B",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304564",
            "telephone_number": "870-862-4543",
            "fax_number": "870-862-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 W OAK ST STE B",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304564",
            "telephone_number": "870-862-4543",
            "fax_number": "870-862-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANRY",
        "first_name": "RYAN",
        "middle_name": "WARNER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "65",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.