Individual provider Active NPI

Valerie Anne Ryan, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lavale, MD
National Provider Identifier
1841703170
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
16457 Issued in MD
Practice address
428 National Hwy
Lavale, MD 21502-7129
Phone
(301) 722-5850
Fax
(301) 722-4960
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 16457 MD Primary

Addresses

Primary practice location

428 National Hwy
Lavale, MD 21502-7129

Mailing address

1114 Bishop Walsh Rd
Cumberland, MD 21502-1904
Phone (540) 383-9784

Other practice location 1

25207 McMullen Hwy SW
McCoole, MD 21562-3028
Phone (301) 786-4372

Other practice location 2

1279 Memorial Dr
Oakland, MD 21550-4341
Phone (301) 533-1003

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
16457MDMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
W Charles McLuckie DDS Ms PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841703170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021904",
            "telephone_number": "540-383-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027129",
            "telephone_number": "301-722-5850",
            "fax_number": "301-722-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25207 McMullen Hwy SW",
            "address_purpose": "LOCATION",
            "city": "McCoole",
            "state": "MD",
            "postal_code": "215623028",
            "country_code": "US",
            "telephone_number": "301-786-4372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1279 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504341",
            "country_code": "US",
            "telephone_number": "301-533-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "VALERIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "16457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.