Individual provider Active NPI

Ryan A Draiss, DMD

  • Dentist
  • Chelsea, AL
National Provider Identifier
1851606925
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5781 Issued in AL
Practice address
407 Chelsea Crossraods
Chelsea, AL 35043
Phone
(205) 447-8141
NPI assigned
Aug 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5781 AL Primary

Addresses

Primary practice location

407 Chelsea Crossraods
Chelsea, AL 35043

Mailing address

407 Chelsea Crossroads
Chelsea, AL 35043-3901
Phone (205) 447-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720001359 AL Order and Referring Only - DentistPractitioner - Dentist 6800109844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5781ALMDLow Vision Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan a Draiss DMD LLC CurrentSince Dec 13, 2011 Accepting new patients

Locations

407 Chelsea Xrds
Chelsea, AL 35043
Phone (205) 370-7499

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1851606925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CHELSEA CROSSROADS",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350433901",
            "telephone_number": "205-447-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CHELSEA CROSSRAODS",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "35043",
            "telephone_number": "205-447-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAISS",
        "first_name": "RYAN",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, AL

Sources for this page

Verify at the official NPI Registry.