Active NPI
Chad R Ryker, D.D.S., M.S.
- Dentist
- Spring Branch, TX
National Provider Identifier
1942263199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-02-1631
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36875 | TX | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHD- Spring Branch PLLC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Spring Branch, TX
- NPI 1821946344
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.