Individual provider Active NPI

Ryan Beyea, DDS

  • Dentist
  • Okemos, MI
National Provider Identifier
1861060279
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600870 Issued in MI
Practice address
4780 Okemos Rd Ste 1
Okemos, MI 48864-1669
Phone
(517) 281-8402
NPI assigned
Jun 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600870 MI Primary

Addresses

Primary practice location

4780 Okemos Rd Ste 1
Okemos, MI 48864-1669

Mailing address

1615 Corkwood TRL
Williamston, MI 48895-9122
Phone (517) 281-8402

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
2901600870MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan J Beyea DDS PLLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

4780 Okemos Rd
Ste 1
Okemos, MI 48864
Phone (517) 281-8402

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": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1861060279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 CORKWOOD TRL",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959122",
            "telephone_number": "517-281-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 OKEMOS RD STE 1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641669",
            "telephone_number": "517-281-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYEA",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-12",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.