CHANG W RYU DDS, PC


Address: 3607 Manor Rd # 103, Austin, TX 78723
Phone: 5122701071

CHANG W RYU DDS, PC (NPI# 1740799048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740799048
Entity Type Organization
Organization Name CHANG W RYU DDS, PC
Other Organization Name AUSTIN PEARLS PEDIATRIC DENTISTRY
Practice Address 3607 Manor Rd # 103
Austin
TX 78723
Mailing Address 3607 Manor Rd # 103
Austin
TX 78723-5812
Practice Telephone 5122701071
Enumeration Date 2017-09-29
Last Update Date 2018-08-13
Authorized Official Name CHANG RYU (OWNER)
Authorized Official Telephone 5124946767
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Austin Pearls Pediatric Dentistry Doing Business As Name - Organization

Office Location

Street Address 3607 MANOR RD # 103
City AUSTIN
State TX
Zip Code 78723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376831206 Chang Woo Ryu Dentist 3607 Manor Rd # 103, Austin, TX 78723 2011-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144787318 Bridget Wilson Counselor 6448 East Hwy 290, Suite F108, Austin, TX 78723 2019-02-25
1700378999 Andrew Christopher Shanks Counselor 2132 Antone St, Austin, TX 78723 2018-06-04
1316434236 Yasaman Ahmadieh Pediatrics 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 2018-04-16
1215433354 Erika Senai Ramirez Nurse Practitioner 6900 Ed Bluestein Blvd, Austin, TX 78723 2018-04-05
1518477645 Brigitte Tyree Registered Nurse 2237 Zach Scott St, Austin, TX 78723 2017-10-03
1942735980 Ila Sehgal Pediatrics 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 2017-04-27
1851825194 Terry Blackmon Behavioral Analyst 2021 Zach Scott St, Austin, TX 78723 2017-04-13
1114337961 Cassandra Sorensen Home Health 3001 Maplelawn Circle, Austin, TX 78723 2014-05-02
1336569052 Ricky C Mehta Internal Medicine 6210 E Hwy 290 Ste 420, Austin, TX 78723 2014-04-21
1356761373 Peter Caldwell Gilbreath Pediatrics 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 2014-04-17
Find all providers in zip 78723

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558832972 Belterra Kids Teeth Dentist 165 Hargraves Dr Ste M100, Austin, TX 78737-4810 2018-12-11
1073051413 Bash Braker LLC Dentist 1139 W Braker Ln, Ste 201, Austin, TX 78758 2017-02-06
1336519313 Longhorn Pediatric Dentistry and Orthodontics Dentist 4638 W Gate Blvd, Austin, TX 78745-1461 2015-10-02
1659749810 Specialty Dental Partners of Austin Pllc Dentist 4308 N Quinlan Park Rd Ste 201, Austin, TX 78732-6071 2015-09-04
1003202060 Jared Poplin D.m.d., Pllc Dentist 6850 Austin Center Blvd Ste 220, Austin, TX 78731-3131 2015-04-07
1679964787 Alexander Y Shau Dentist 13616 N Hwy 183 Unit A, Austin, TX 78750-2312 2015-02-10
1972902427 Green Apple Pediatric Dentistry, Pllc Dentist 11601 Us Hwy 290 West, Suite 105, Austin, TX 78737 2014-08-21
1902216989 Kyle Raymond Pa Dentist 5656 Bee Caves Rd Ste B104, Austin, TX 78746 2014-04-30
1447595855 Rock That Smile Pediatric Dentistry Pllc Dentist 14005 N. Hwy 183, #800, Austin, TX 78717 2012-12-11
1215280557 North Austin Pediatric Dental, Pllc Dentist 8716 Research Blvd # 125, Austin, TX 78758-6420 2012-10-24
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78723

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Dataset Information

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.

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