Active NPI
Ryan Douglass Hyde, DDS
- General Practice Dentistry
- Amarillo, TX
National Provider Identifier
1922521657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33394
- Practice address
- 4525 Van Winkle Dr
Amarillo, TX 79119-6423 - Phone
- (806) 655-7463
- Fax
- (806) 355-6014
- NPI assigned
- Jul 25, 2017
- Last updated
- Jul 21, 2022
- 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 | 33394 | TX | Primary |
Addresses
Primary practice location
4525 Van Winkle Dr
Amarillo, TX 79119-6423
Mailing address
4525 Van Winkle Dr
Amarillo, TX 79119-6423
Phone (806) 355-7463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33394 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarillo Dental Associates | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922521657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 VAN WINKLE DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196423",
"telephone_number": "806-355-7463",
"fax_number": "806-355-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 VAN WINKLE DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196423",
"telephone_number": "806-655-7463",
"fax_number": "806-355-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "RYAN",
"middle_name": "DOUGLASS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.