DR. THOMAS C RYZICKA (NPI# 1417114554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417114554 |
| Entity Type | Individual |
| Full Name | DR. THOMAS C RYZICKA |
| Credential | DDS |
| Practice Address |
2820 Lemay Ferry St Louis MO 63125 |
| Practice Telephone | 3144870799 |
| Practice Fax Number | 3144870715 |
| Mailing Telephone | 3144870799 |
| Mailing Fax Number | 3144870715 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 13602 | MO | Dental Providers |
| Street Address |
2820 LEMAY FERRY |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760502033 | Valerie Paris O Bannon | Dentist | 665 S Skinker, St Louis, MO 63105-2300 | 2007-03-30 |
| 1588782742 | Richard W Danyluck | Dentist | 3940 S Broadway, St Louis, MO 63118-4626 | 2007-03-27 |
| 1366573859 | Gary Alan Padberg | Dentist | 8077 Watson Rd, Suite 150, St Louis, MO 63119-5323 | 2007-03-08 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1366588501 | Ervin Simmons Iv | Dentist | 12528 Lusher Rd, St Louis, MO 63138 | 2007-01-29 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1285783563 | Mary Heil Grimm | Dentist | 9785 Mackenzie, Suite 106, St Louis, MO 63123 | 2007-01-09 |
| 1992853527 | David T Cappetta | Dentist | 1034 So Brentwood Blvd, University Club Tower Bld, St Louis, MO 63117 | 2007-01-08 |
| 1659436673 | Ronald King Greif | Dentist | 4442 Telegraph Rd, St Louis, MO 63129-3316 | 2006-12-27 |
| 1235294257 | Samir Edward Ruvinov | Dentist | 4442 Telegraph Road, St Louis, MO 63129 | 2006-12-27 |
| Find all providers in ST LOUIS | ||||
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| 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.