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DR. RYAN MICHAEL JACK D.D.S. M.S. NPI 1538130752


NPI Information

NPI: 1538130752
Provider Name: DR. RYAN MICHAEL JACK, D.D.S., M.S.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

PECOS Registration: Yes

Address:
8580 SCARBOROUGH DR
#200
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 282-6600
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DR. Ryan Michael Jack, D.D.S., M.S. is an endodontics dentist in Colorado Springs, CO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Ryan Michael Jack, D.D.S., M.S. NPI is 1538130752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8580 SCARBOROUGH DR
#200
COLORADO SPRINGS, CO
ZIP 80920-583
Phone: (719) 282-6600

The NPI 1538130752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsDN18177FLORIDANo
21223E0200XDentistEndodonticsD-3585IDAHONo
31223E0200XDentistEndodontics10046COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.