Individual provider Active NPI

Ryan Davis Forney, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Stoneham, MA
National Provider Identifier
1962776237
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN10000557 Issued in MA
Practice address
88 Montvale Ave Ste 5
Stoneham, MA 02180-3644
Phone
(781) 438-7206
NPI assigned
Mar 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X OMS119 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN10000557 MA Primary

Addresses

Primary practice location

88 Montvale Ave Ste 5
Stoneham, MA 02180-3644

Mailing address

88 Montvale Ave Ste 5
Stoneham, MA 02180-3644
Phone (781) 438-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250417000957 MA Practitioner - Oral Surgery 1052617735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Tufts University School of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Oral Surgeons, IncGroup PAC ID 6901969401, 5 clinicians

Practice addresses (Care Compare)

88 Montvale Ave
Suite 5
Stoneham, MA 02180-3644
Phone (781) 438-7206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DN10000557MAMDOral and Maxillofacial Surgery (Dentist)
OMS119CAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Oral Surgeons, Inc Oral and Maxillofacial Surgery CurrentSince Mar 10, 2025 Accepting new patients
Merrimack Valley Oral Surgeons, Inc. Oral and Maxillofacial Surgery CurrentSince Mar 10, 2025 Accepting new patients

Locations

33 Bartlett St
Lowell, MA 01852
Phone (978) 452-7233

88 Montvale Ave
Stoneham, MA 02180
Phone (781) 481-9255

88 Montvale Ave
Ste 5
Stoneham, MA 02180
Phone (781) 438-7206

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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1962776237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE STE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803644",
            "telephone_number": "781-438-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE STE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803644",
            "telephone_number": "781-438-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNEY",
        "first_name": "RYAN",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS119",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN10000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.