DR. RYAN ELLIS (NPI# 1235379454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235379454 |
| Entity Type | Individual |
| Full Name | DR. RYAN ELLIS |
| Credential | DDS |
| Practice Address |
5479 N Fresno St Ste 104 Fresno CA 93710-8328 |
| Mailing Address |
1495 10th Ave Apt 3 San Francisco CA 94122-3670 |
| Practice Telephone | 5594395280 |
| Mailing Telephone | 4154202824 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
53786 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861878522 | Ryan Ellis | Nurse Anesthetist, Certified Registered | 4511 Barcelona Cir, Farmington, NM 87401-2892 | 2015-08-05 |
| 1437758828 | Ryan Ellis | Pharmacist | 3575 Bridge Rd, Suffolk, VA 23435-1800 | 2020-10-18 |
| 1477163368 | Ryan Ellis | Physical Therapist | 69 Cottage Rd, Mifflin, PA 17058-7030 | 2020-08-05 |
| 1518596998 | Ryan Charles Ellis | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2020-04-07 |
| 1437791399 | Ryan Ellis | Dentist | 31843 Rancho California Rd Ste 300, Temecula, CA 92591-5120 | 2019-10-11 |
| 1811315724 | Ryan Joseph Ellis | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Mcgaw Pavilion, Suite 1-200, Chicago, IL 60611 | 2014-03-29 |
| 1528336146 | Ryan Michael Ellis | Physician Assistant | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2011-12-09 |
| Street Address |
5479 N FRESNO ST STE 104 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-8328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528516994 | Sophia Tseng | Dentist | 1406 E Alluvial Ave # 101, Fresno, CA 93720-2606 | 2016-09-14 |
| 1407163801 | Thomas E Bramanti Sr. | Dentist | 5660 N Fresno St, Suite #110, Fresno, CA 93710-8343 | 2010-09-07 |
| 1790966455 | Gerald J. Pieroni | Dentist | 7760 N Fresno St Ste 105, Fresno, CA 93720-2411 | 2007-11-21 |
| 1275743080 | Dee Christiaan Nishimine | Dentist | 1406 E Alluvial Ave, #101, Fresno, CA 93720-2606 | 2007-05-23 |
| 1750418604 | Alexander Pritsky | Dentist | 7045 N Chestnut Ave, #102, Fresno, CA 93720-0354 | 2007-02-27 |
| 1477608537 | Suraiya Rahman | Dentist | 2956 E El Paso Ave, Fresno, CA 93720-6412 | 2007-01-25 |
| 1992859086 | James Ward Van Volkinburg | Dentist | 5479 N Fresno St, Suite 104, Fresno, CA 93710-8328 | 2007-01-23 |
| 1043308364 | Scott Robert Jett | Dentist | 6495 N Palm Ave Ste 105, Fresno, CA 93704-1063 | 2006-10-11 |
| 1306930748 | Paul L. Michaelides | Dentist | 2503 W. Shaw, Suite 105, Fresno, CA 93711-3309 | 2006-10-02 |
| 1992808299 | Dennis Nmi Nishimine | Dentist | 1406 E Allluvial Ave, Suite 101, Fresno, CA 93720-2606 | 2006-09-06 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on DR. RYAN ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.