Active NPI
Ryan Allen Cregger, DDS, MS
- Pediatric Dentistry
- Brentwood, TN
National Provider Identifier
1811158124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8825
- Practice address
- 95 Seaboard LN
Brentwood, TN 37027-2929 - Phone
- (901) 830-5075
- NPI assigned
- Jun 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8825 | TN | Primary |
| Pediatric Dentistry | 1223P0221X | 22828 | TX |
Addresses
Primary practice location
95 Seaboard LN
Brentwood, TN 37027-2929
Mailing address
95 Seaboard LN
Brentwood, TN 37027-2929
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22828 | TX | MD | Pediatric Dentist |
| 8825 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1811158124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 SEABOARD LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SEABOARD LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272929",
"telephone_number": "901-830-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREGGER",
"first_name": "RYAN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "8825",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "22828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.