MARK INGRAM RYDER (NPI# 1922187020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922187020 |
| Entity Type | Individual |
| Full Name | MARK INGRAM RYDER |
| Credential | DMD |
| Practice Address |
521 Parnassus Ave Room C-628 San Francisco CA 94143-2206 |
| Practice Telephone | 4154761699 |
| Practice Fax Number | 4155024990 |
| Mailing Telephone | 4154761699 |
| Mailing Fax Number | 4155024990 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
CA51446 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA DENTAL LICENCE | CA51446 | 01 |
| Street Address |
521 PARNASSUS AVE ROOM C-628 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850470 | Robin L Corelli | Pharmacist | 521 Parnassus Ave, Room C-152, San Francisco, CA 94143-2206 | 2005-09-07 |
| 1629605779 | Kevin Huynh | Student in an Organized Health Care Education/Training Program | 521 Parnassus Ave, San Francisco, CA 94143-2206 | 2020-03-26 |
| 1477901296 | University of California, San Francisco | General Acute Care Hospital | 521 Parnassus Ave, 522c, Box 0440, San Francisco, CA 94143-2206 | 2016-06-02 |
| 1417322835 | Dieter Adelmann | Anesthesiology | 521 Parnassus Ave, Ucsf Department of Anesthesia and Perioperative Care, San Francisco, CA 94143-2206 | 2015-12-10 |
| 1508237207 | Wipusit Taesombat | Surgery | 521 Parnassus Ave, C-341, San Francisco, CA 94143-2206 | 2015-10-07 |
| 1831566827 | Ucsf | Dentist | 521 Parnassus Ave, San Francisco, CA 94143-2206 | 2015-08-26 |
| 1902284607 | Matthew Kurt Chroust | Student in an Organized Health Care Education/Training Program | 521 Parnassus Ave, Room C522, San Francisco, CA 94143-2206 | 2015-05-13 |
| 1376921445 | Krishna Shah | Pharmacist | 521 Parnassus Ave, C-152, San Francisco, CA 94143-0622 | 2015-05-11 |
| 1356728752 | Annie Chou | Dentist | 521 Parnassus Ave, C-646, San Francisco, CA 94143-2206 | 2015-05-05 |
| 1154713212 | Gary Armitage | Dentist | 521 Parnassus Ave, Ucsf School of Dentistry, San Francisco, CA 94143-0650 | 2015-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| 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 |
|---|---|---|---|---|
| 1508359902 | L Swayamprakasam Dds Corp | Dentist | 1550 Lombard St, San Francisco, CA 94123-3154 | 2018-06-11 |
| 1720427651 | Nicole Olivares | Dentist | 450 Sutter St Rm 1314, San Francisco, CA 94108-4002 | 2013-06-25 |
| 1578827226 | Jeff Takai | Dentist | 882 Presidio Ave, San Francisco, CA 94115-2921 | 2012-06-27 |
| 1356624175 | Sohyun Park | Dentist | 450 Sutter St Rm 2400, San Francisco, CA 94108-4203 | 2011-09-28 |
| 1114218153 | Joyce Yi-tzy Cheng | Dentist | 1356 3rd Ave, San Francisco, CA 94122-2719 | 2011-04-25 |
| 1376832337 | John Bigelow Hartman | Dentist | 685 Commercial St, San Francisco, CA 94111-2503 | 2011-03-30 |
| 1962720433 | Christina Gasper | Dentist | 450 Sutter St Rm 2336, San Francisco, CA 94108-4202 | 2010-05-09 |
| 1881856383 | Jung Sun Han | Dentist | 170 King St, Suite 105, San Francisco, CA 94107-1917 | 2008-06-26 |
| 1760682074 | Thomas Ridge Baker | Dentist | 450 Sutter St Rm 1935, San Francisco, CA 94108-4107 | 2007-07-24 |
| 1801095104 | Eric Engert | Dentist | 450 Sutter St Rm 2326, San Francisco, CA 94108-4202 | 2007-07-16 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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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.