Dr. Matthew Ryan Dental Practice Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. MATTHEW RYAN DENTAL PRACTICE CORPORATION

Doing business as

Dr. Matthew Ryan

Practice address

4350 Marconi Ave Ste 100
Sacramento, CA 95821-4379

Phone

(916) 486-8255

Fax

(916) 486-8266

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew D Ryan, DDSNPI 1265436257

Title

Owner

Phone

(916) 486-8255

Specialties & licenses 1

Addresses

Other names 1

• Dr. Matthew Ryan Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Dennis Ryan, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1265436257
  Authorized official Same address or phone

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1962039057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MARCONI AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214379",
            "telephone_number": "916-486-8255",
            "fax_number": "916-486-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MARCONI AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214379",
            "telephone_number": "916-486-8255",
            "fax_number": "916-486-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATTHEW RYAN DENTAL PRACTICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-486-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Matthew Ryan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.