Individual provider Active NPI

Stuart Ryder, DVM

  • Veterinarian
  • Blue Springs, MO
National Provider Identifier
1851664635
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
2005032884 Issued in MO
Practice address
1201 SW US Highway 40
Blue Springs, MO 64015-4611
Phone
(816) 229-1544
Fax
(816) 228-9364
NPI assigned
Feb 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 2005032884 MO Primary

Addresses

Primary practice location

1201 SW US Highway 40
Blue Springs, MO 64015-4611

Mailing address

1201 SW US Highway 40
Blue Springs, MO 64015-4611
Phone (816) 229-1544

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
2005032884MOMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1851664635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW US HIGHWAY 40",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154611",
            "telephone_number": "816-229-1544",
            "fax_number": "816-228-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SW US HIGHWAY 40",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154611",
            "telephone_number": "816-229-1544",
            "fax_number": "816-228-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "STUART",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MO",
            "license": "2005032884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.