DR. RYAN A STREET (NPI# 1578606901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578606901 |
| Entity Type | Individual |
| Full Name | DR. RYAN A STREET |
| Credential | DDS |
| Practice Address |
4525 Van Winkle Dr Amarillo TX 79119 |
| Mailing Address |
7201 W 34th Ave Amarillo TX 79109-3900 |
| Practice Telephone | 8063557463 |
| Practice Fax Number | 8063556014 |
| Mailing Telephone | 8063557463 |
| Mailing Fax Number | 8063556014 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21834 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437443348 | Ryan J Street | Urology | 1519 3rd St Se, Suite 210, Puyallup, WA 98372-3742 | 2011-06-08 |
| Street Address |
4525 VAN WINKLE DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922521657 | Ryan Douglass Hyde | Dentist | 4525 Van Winkle Dr, Amarillo, TX 79119-6423 | 2017-07-25 |
| 1710020177 | Michael D Vaclav | Dentist | 4525 Van Winkle Dr, Amarillo, TX 79119 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| Find all providers in zip 79119 | ||||
| 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 |
|---|---|---|---|---|
| 1881203529 | Brynna Diller | Dentist | 7649 Hillside Rd Ste 100, Amarillo, TX 79119-8382 | 2020-07-29 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1912405309 | Amarillo Smiles Pllc | Dentist | 802 E Amarillo Blvd Ste 300, Amarillo, TX 79107-5401 | 2018-01-31 |
| 1437671567 | Austin Argyle Whetten | Dentist | 6017 Hillside Rd Ste 200, Amarillo, TX 79109-7210 | 2017-07-11 |
| 1861851826 | Gabriela Pita | Dentist | 2602 S Kentucky St # 709, Amarillo, TX 79109-1721 | 2016-02-18 |
| 1538548128 | Abbeville Dentistry - Washington St Pllc | Dentist | 1915 S Washington St, Unit 100, Amarillo, TX 79109-2412 | 2015-05-28 |
| 1508267675 | Lee Crawford | Dentist | 6017 Sw 45th Ave, Amarillo, TX 79109-5100 | 2014-09-09 |
| 1144621251 | Krantikumari Bellam | Dentist | 8801 Tarter Ave, Apt 304, Amarillo, TX 79119-6351 | 2014-09-08 |
| 1538575501 | Blaine Morris | Dentist | 4515 Van Winkle Dr, Amarillo, TX 79119-6423 | 2014-07-10 |
| 1588928733 | Jon K Ormson | Dentist | 4600 W I 40 Ste 201, Amarillo, TX 79106-5836 | 2012-07-02 |
| Find all providers in AMARILLO | ||||
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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.