Ryan Edward Marder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12703 Issued in NC

Practice address

1325 Bradford View Dr Ste 120
Cary, NC 27519-9232

Phone

(984) 465-1110

NPI assigned

Feb 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1952995979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 RESERVE LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309076212",
            "telephone_number": "704-574-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BRADFORD VIEW DR STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199232",
            "telephone_number": "984-465-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 John Wesley Gilbert Drive",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309124819",
            "country_code": "US",
            "telephone_number": "706-721-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDER",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12703",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkevia Tyshay Marable
• Wayne J Marcelli
• Quinlan Ann Marchese
• Rebecka Brake Marciszewski, DPT
• Sami William Mardam-Bey, M.D.
• Edward Earl Maready Jr., MD
• Elizabeth Dowd Maready, D.M.D.
• Jessica Nicole Maready
• Subhratha Maredia, M.D.
• Aubrey Marett, MMP, LMBT

• General Practice Dentistry in Cary, NC
• Providers in Cary, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.