Individual provider Active NPI

Ryan E Bygness, DDS

  • General Practice Dentistry
  • Denison, IA
National Provider Identifier
1871661819
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07912 Issued in IA
Practice address
1328 Broadway
Denison, IA 51442-1924
Phone
(712) 263-3252
Fax
(712) 794-4142
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 07912 IA Primary

Addresses

Primary practice location

1328 Broadway
Denison, IA 51442-1924

Mailing address

2330 Highway 141
Denison, IA 51442-7462
Phone (712) 263-8685

Other identifiers 1

IdentifierTypeStateIssuer
0210211MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20150605000835 IA Order and Referring Only - DentistPractitioner - Dentist 9032430871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07912IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
32 & You, P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1871661819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 HIGHWAY 141",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514427462",
            "telephone_number": "712-263-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 BROADWAY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421924",
            "telephone_number": "712-263-3252",
            "fax_number": "712-794-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYGNESS",
        "first_name": "RYAN",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210211",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.