Ryan E Patterson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010368A Issued in IN

Practice address

642 N Opportunity Dr Ste 101
Columbia City, IN 46725-1041

Phone

(260) 248-4858

Fax

(260) 248-4859

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1821090242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 N OPPORTUNITY DR STE 101",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251041",
            "telephone_number": "260-248-4858",
            "fax_number": "260-248-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 N OPPORTUNITY DR STE 101",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251041",
            "telephone_number": "260-248-4858",
            "fax_number": "260-248-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "578 Geiger Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "IN",
            "postal_code": "467838872",
            "country_code": "US",
            "telephone_number": "260-672-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "RYAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010368A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Passages, Inc.
• Passages, Inc.
• Patterson Family Dentistry, P.C.
• Nathan Elliot Patterson, D.D.S.
• Rhonda Lynn Patterson
• Paula Langeloh, Aprn, LLC
• Lydia A Pfenniger, D.O.
• Giang Phan
• Ray Anthony Phillips, DC
• Physiotherapy Associates Inc

• General Practice Dentistry in Columbia City, IN
• Providers in Columbia City, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.