Jeffrey Lloyd Ryan, DDS MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

11790 Issued in MN

Practice address

1900 Krutchen Court South
Suite 100
Sartell, MN 56377

Phone

(320) 656-1456

Fax

(320) 656-0195

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1861682783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 KRUTCHEN COURT SOUTH",
            "address_2": "SUITE 100",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-656-1456",
            "fax_number": "320-656-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 KRUTCHEN COURT SOUTH",
            "address_2": "SUITE 100",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-656-1456",
            "fax_number": "320-656-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JEFFREY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Jeffrey Rupp, DO
• Rose Ann Ruprecht
• Nina Marie Russell
• Bradley H Rutten, PAC
• Lauren Alexis Rutten
• Lily Ann Rymer
• Erin Anne Rysavy, P.A.C.
• Kristi Marie Sabrowsky, RD
• Susan M Saetre, D.C.
• Callie Sahr, NP

• Endodontics in Sartell, MN
• Providers in Sartell, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.