Ryan Tyng, DMD Professional Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10399 Issued in CO

Legal business name

RYAN TYNG, DMD PROFESSIONAL INC

Practice address

5955 Dublin Blvd
Colorado Springs, CO 80923-7474

Phone

(719) 596-3481

Fax

(719) 596-9114

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Marcia Guevara

Title

Office Manager

Phone

(719) 596-3481

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Crossroads Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crossroads Family Dentistry

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1396137907
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Ellen Libby, DDS

  • Dentist
  • Colorado Springs, CO
  • NPI 1730819160
  NPD
• Ryan T Tyng, D.M.D.

  • General Practice Dentistry
  • Boise, ID
  • NPI 1780848176
  NPD

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1881149300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 DUBLIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237474",
            "telephone_number": "719-596-3481",
            "fax_number": "719-596-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 DUBLIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237474",
            "telephone_number": "719-596-3481",
            "fax_number": "719-596-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN TYNG, DMD PROFESSIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-596-3481"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780848176",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86979566",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raelynn Ruybal
• Kimberly R. Ruzicka, M.A., CCC-SLP
• Rxmedlife Inc
• Rya Therapy-Consultation
• Ryan Cole
• Heather Ryan-Figueroa, LCSW
• Alicia Ryan
• Bailee Ryan, BCBA
• Breanna Ryan, D.C.
• Christopher J Ryan, M.D.

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.