Individual provider Active NPI

Ryan Fort, DDS

  • Dentist
  • Whitesboro, TX
National Provider Identifier
1821473620
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32827 Issued in TX
Practice address
306 E Main St
Whitesboro, TX 76273-1709
Phone
(903) 564-3451
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ETN355 TX
Dentist 122300000X 32827 TX Primary

Addresses

Primary practice location

306 E Main St
Whitesboro, TX 76273-1709

Mailing address

306 E Main St
Whitesboro, TX 76273-1709
Phone (903) 564-3451

Other practice location 1

8210 Floyd Curl Dr
MSC 8103
San Antonio, TX 78229-3923
Phone (210) 450-3273

Other practice location 2

2515 E Elliott St
Wichita Falls, TX 76308-3708
Phone (940) 696-9701

Other practice location 3

2515 E Elliott St
Wichita Falls, TX 76308
Phone (940) 696-9701

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
32827TXMDPharmacotherapy Pharmacist
ETN355TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Muzny, DDS & Associates PastSince Jul 24, 2022 Accepting new patients
Glendaly Fernandez, PLLC PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1821473620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731709",
            "telephone_number": "903-564-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731709",
            "telephone_number": "903-564-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Floyd Curl Dr",
            "address_2": "MSC 8103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "210-450-3273",
            "fax_number": "210-450-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 E Elliott St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763083708",
            "country_code": "US",
            "telephone_number": "940-696-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 E Elliott St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "76308",
            "country_code": "US",
            "telephone_number": "940-696-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORT",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "ETN355",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.