Ryan M. Detmer D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.022367 Issued in OH

Legal business name

RYAN M. DETMER D.D.S. INC.

Practice address

4866 Cooper Rd
Suite 201
Cincinnati, OH 45242-6904

Phone

(513) 891-8555

Fax

(513) 891-8704

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Michael Detmer, D.D.S.

Title

President/Owner

Phone

(513) 891-8555

Specialties & licenses 1

Addresses

Other names 1

• blue ash dental group Doing business as

Locations

Practitioners 1

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

• Michael S. W. Shane, DDS

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1689797185
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1891004818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4866 COOPER RD",
            "address_2": "SUITE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426904",
            "telephone_number": "513-891-8555",
            "fax_number": "513-891-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4866 COOPER RD",
            "address_2": "SUITE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426904",
            "telephone_number": "513-891-8555",
            "fax_number": "513-891-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN M. DETMER D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "DETMER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "513-891-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "blue ash dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jolene Ruwe, ATC/L
• RWS Enterprises, LLC
• RX Frames N Lenses LTD
• RX02 Inc.
• Stephanie Noel Ryall, LPC
• Carrie Ryan, D.P.T.
• Christy Lynn Ryan, RN
• Courtney Ryan
• Danielle Ryan
• Jessica Ryan, MD

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.