DR. RYAN JASON CARLEY (NPI# 1548561624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548561624 |
| Entity Type | Individual |
| Full Name | DR. RYAN JASON CARLEY |
| Credential | D.M.D. |
| Practice Address |
1521 W Reynolds St Pontiac IL 61764-9673 |
| Mailing Address |
Po Box 557 Pontiac IL 61764-0557 |
| Practice Telephone | 8158445200 |
| Practice Fax Number | 8158443888 |
| Mailing Telephone | 8158445200 |
| Mailing Fax Number | 8158443888 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019028354 | IL | Dental Providers |
| Street Address |
1521 W REYNOLDS ST |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-9673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336537133 | Kelsey R Carley | Physical Therapist | 1521 W Reynolds St, Pontiac, IL 61764-9673 | 2014-12-31 |
| 1043505167 | Natalie Marie Flaherty | Dentist | 1521 W Reynolds St, Pontiac, IL 61764-9673 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1639519291 | A1 Family Dentistry of Pontiac,plc | Dentist | 1018 Joslyn Ave, Pontiac, MI 48340-2929 | 2013-06-27 |
| 1487941506 | Sabrina Rita Shaouni | Dentist | 1620 N Perry St, Suite 1, Pontiac, MI 48340-3310 | 2011-07-10 |
| 1841335221 | James W Chang | Dentist | 1472 Baldwin Ave, Pontiac, MI 48340-1102 | 2007-02-21 |
| 1396812269 | Siran Salah Raouf | Dentist | 775 Baldwin Ave, Suite C, Pontiac, MI 48340-2576 | 2006-11-29 |
| 1386714632 | Rita Rapheal Marroghi | Dentist | 683 W Huron St, Pontiac, MI 48341-1522 | 2006-11-08 |
| 1528138492 | Maha Karmo | Dentist | 667 N Martin Luther King Blvd, Pontiac, MI 48342 | 2006-11-08 |
| 1174693048 | Nezih Meikha Jajou Bachuri | Dentist | 667 N Martin Luther King Blvd., Pontiac, MI 48342 | 2006-11-08 |
| 1164502886 | Terrence Wayne Haynes | Dentist | 861 Joslyn, Pontiac, MI 48340-2919 | 2006-10-17 |
| 1275574394 | Bruce Edward Turpin | Dentist | 160 Palmer St, Pontiac, MI 48341-1744 | 2006-06-09 |
| Find all providers in PONTIAC | ||||
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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.