Active NPI
Ryan E Bygness, DDS
- General Practice Dentistry
- Denison, IA
National Provider Identifier
1871661819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 07912
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210211 | Medicaid | IA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605000835 | IA | Order and Referring Only - Dentist | 9032430871 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07912 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Denison, IA
- NPI 1093248957
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.