Ryan Stalker, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

9415 Willow Brook LN
Sauquoit, NY 13456-2811

Phone

(315) 223-1434

NPI assigned

Jul 5, 2020

Last updated

Jul 5, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1821615964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 WILLOW BROOK LN",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134562811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 WILLOW BROOK LN",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134562811",
            "telephone_number": "315-223-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALKER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Roberts, LMSW
• Karla M. Salvatore, OTR/L
• Sauquoit Valley Central School
• Jody Marie Scoones, FNP
• Diana Shaw, FNP
• Kayla Lynn Stanek, MS CCC-SLP
• Sally Claycomb Townsend, PH.D.
• Jodi Kathleen Wheeler, OT
• Michelle Ziemba, OTR/L

• Student in an Organized Health Care Education/Training Program in Sauquoit, NY
• Providers in Sauquoit, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.