Active NPI
Kevin P. Ryan, DDS.
- Dentist
- Omaha, NE
National Provider Identifier
1992843213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5223
- Practice address
- 5006 Dodge St
Omaha, NE 68132-2920 - Phone
- (402) 554-1333
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13778 | MO | |
| Dentist | 122300000X | 5223 | NE | Primary |
Addresses
Primary practice location
5006 Dodge St
Omaha, NE 68132-2920
Mailing address
5006 Dodge St
Omaha, NE 68132-2920
Phone (402) 554-1333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5223 | NE | MD | Mental Health Counselor |
| 13778 | MO | MD | General Practice Dentistry |
Interoperability endpoints
- kevin.ryan.p1@direct.charlesdrew.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1992843213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322920",
"telephone_number": "402-554-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5006 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322920",
"telephone_number": "402-554-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "KEVIN",
"middle_name": "P.",
"credential": "DDS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "13778",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.