Active NPI
Ryan Richard, D.M.D , M.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lilburn, GA
National Provider Identifier
1972933836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DNO1436
- Practice address
- 645 Beaver Ruin Rd NW
Lilburn, GA 30047-3401 - Phone
- (770) 448-8882
- NPI assigned
- Nov 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DNO1436 | GA | Primary |
Addresses
Primary practice location
645 Beaver Ruin Rd NW
Lilburn, GA 30047-3401
Mailing address
645 Beaver Ruin Rd NW
Lilburn, GA 30047-3401
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 |
|---|---|---|---|
| DNO1436 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1972933836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 BEAVER RUIN RD NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 BEAVER RUIN RD NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473401",
"telephone_number": "770-448-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.M.D , M.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DNO1436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.