Individual provider Active NPI

Ryan Alexander Greenway, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lexington, KY
National Provider Identifier
1902535826
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D-00161 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 175
Lexington, KY 40504-3523
Phone
(859) 323-8873
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2022018759 MO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D-00161 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X 2022018759 MO

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 175
Lexington, KY 40504-3523

Mailing address

1005 Harborside Dr
5TH Floor
Galveston, TX 77550
Phone (409) 772-6783

Other practice location 1

1005 Harborside Dr
5th Floor
Galveston, TX 77550
Phone (409) 772-6783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Missouri-Kansas City School of Dentistry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Waller Ave
Suite 209
Lexington, KY 40503-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022018759MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1902535826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DR",
            "address_2": "5TH FLOOR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77550",
            "telephone_number": "409-772-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 175",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043523",
            "telephone_number": "859-323-8873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Harborside Dr",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "77550",
            "country_code": "US",
            "telephone_number": "409-772-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "RYAN",
        "middle_name": "ALEXANDER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2022018759",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "D-00161",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2022018759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.