Individual provider Active NPI

Chad R Ryker, D.D.S., M.S.

  • Dentist
  • Spring Branch, TX
National Provider Identifier
1942263199
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-02-1631 Issued in OH
Practice address
21477 State Highway 46 W Ste 105
Spring Branch, TX 78070-6797
Phone
(830) 438-5174
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 36875 TX
Dentist 122300000X 30-02-1631 OH Primary

Addresses

Primary practice location

21477 State Highway 46 W Ste 105
Spring Branch, TX 78070-6797

Mailing address

172 Creekside Park Rd Ste 102
Spring Branch, TX 78070-6221
Phone (830) 458-5174

Other practice location 1

559 Vincent St
Attn: 21 DS/ SGDD - Dental Clinic
Peterson AFB, CO 80914-1541
Phone (719) 556-1333

Other names 1

  • Dr. Chad Randall Raper Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
36875TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
CHD- Spring Branch PLLC PastSince Jan 8, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1942263199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CREEKSIDE PARK RD STE 102",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706221",
            "telephone_number": "830-458-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21477 STATE HIGHWAY 46 W STE 105",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706797",
            "telephone_number": "830-438-5174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 Vincent St",
            "address_2": "Attn: 21 DS/ SGDD - Dental Clinic",
            "address_purpose": "LOCATION",
            "city": "Peterson AFB",
            "state": "CO",
            "postal_code": "809141541",
            "country_code": "US",
            "telephone_number": "719-556-1333",
            "fax_number": "719-556-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYKER",
        "first_name": "CHAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "36875",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-02-1631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "RAPER",
            "middle_name": "RANDALL",
            "prefix": "DR.",
            "credential": "D.D.D, M.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.