Individual provider Active NPI

Ryan Foster Curtis, D.M.D

  • General Practice Dentistry
  • Mission, TX
National Provider Identifier
1942504964
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25897 Issued in TX
Practice address
611 N Bryan Rd
Mission, TX 78572-6285
Phone
(956) 580-3303
Fax
(956) 580-1505
NPI assigned
Jan 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25897 TX Primary

Addresses

Primary practice location

611 N Bryan Rd
Mission, TX 78572-6285

Mailing address

801 W. 1St Street
San Juan, TX 78589-2276
Phone (956) 787-8915

Other practice location 1

801 W 1st St
San Juan, TX 78589-2276
Phone (956) 787-8915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000151 TX Practitioner - Oral Surgery 9436310984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25897TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Clinica del Valle, Inc. CurrentSince Feb 3, 2012 Accepting new patients
Nuestra Clinica del Valle, Inc. CurrentSince Feb 3, 2012 Accepting new patients

Locations

1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191

611 N Bryan Rd
Mission, TX 78572
Phone (956) 580-3303

801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787

Organizations & group practices 2

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1942504964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W. 1ST STREET",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892276",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726285",
            "telephone_number": "956-580-3303",
            "fax_number": "956-580-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W 1st St",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785892276",
            "country_code": "US",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "RYAN",
        "middle_name": "FOSTER",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.