Organization Active NPI

Ryan T. Pruitt, D.M.D & Associates P.a.

  • General Practice Dentistry
  • Greenville, NC
National Provider Identifier
1821727520
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RYAN T. PRUITT, D.M.D & ASSOCIATES P.A.
Practice address
2446 Emerald PL
Greenville, NC 27834-5784
Phone
(252) 756-3313
Fax
(252) 756-0146
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Ryan T Pruitt, DMD
Title
Owner
Phone
(252) 756-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2446 Emerald PL
Greenville, NC 27834-5784

Mailing address

2446 Emerald PL
Greenville, NC 27834-5784
Phone (252) 756-3313

Other practice location 1

363 US Highway 64 W
Plymouth, NC 27962-2147
Phone (252) 793-5942

Other identifiers 1

IdentifierTypeStateIssuer
1487832960OtherNCLLC

National Provider Directory

National Provider Directory

Locations

2446 Emerald Pl
Greenville, NC 27834
Phone (252) 756-3313

363 US Highway 64 W
Plymouth, NC 27962
Phone (252) 793-5942

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1821727520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 EMERALD PL",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345784",
            "telephone_number": "252-756-3313",
            "fax_number": "252-756-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 EMERALD PL",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345784",
            "telephone_number": "252-756-3313",
            "fax_number": "252-756-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 US Highway 64 W",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NC",
            "postal_code": "279622147",
            "country_code": "US",
            "telephone_number": "252-793-5942",
            "fax_number": "252-793-5426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RYAN T. PRUITT, D.M.D & ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-756-3313",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC",
            "identifier": "1487832960",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.