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DR. RYAN DAVIS DDS
NPI 1013599927
Dentist - General Practice in Port Jefferson, NY

Active since April 21, 2021PECOS Enrolled
602 MAIN ST, PORT JEFFERSON, NY 11777(631) 473-1511 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2025, Apr 21, 2021 (2 updates tracked since 2021).

About Dr. Ryan Davis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN DAVIS DDS (NPI 1013599927) is an individual general practice provider in Port Jefferson, New York, licensed in New York (062410) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013599927
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN DAVISCredential: DDS
Location Address602 MAIN STPort Jefferson, NY 11777-2203
Mailing Address602 Main StPort Jefferson, NY 11777-2203 · (631) 473-1511
Phone(631) 473-1511
Sole ProprietorNo
Enumeration DateApril 21, 2021
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1013599927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 062410
Definition
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.
602 MAIN ST, Port Jefferson, NY 11777
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Davis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PORT JEFFERSON DENTAL GROUP P. C.
Dentist (General Practice)
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-0605
DR. SOPHIA C MANOLIS DDS
Dentist
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1511
SOPHIA MANOLIS DDS P.C.
Dentist (General Practice)
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1511
JOHN C RUTTER D.D.S
Dentist
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Davis's NPI number?

The NPI number for Ryan Davis is 1013599927. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Ryan Davis located?

Ryan Davis practices at 602 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 473-1511.

What is Ryan Davis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ryan Davis enrolled in Medicare?

Yes. Ryan Davis is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Davis accept?

Health plans from Humana list Ryan Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Davis was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.