DR. RYAN BUMPER LEE D.D.S.
NPI 1396972709
Dentist - Oral and Maxillofacial Surgery in Davenport, IA
About Dr. Ryan Bumper Lee D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN BUMPER LEE D.D.S. (NPI 1396972709) is an individual oral and maxillofacial surgery provider in Davenport, Iowa, licensed in Iowa (08664) and active in the NPI registry since June 2009. He has opted out of Medicare through May 22, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Ryan Bumper Lee D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2020 through May 22, 2028.
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.
DAVENPORT, IA 52807
DAVENPORT, IA 52807
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 Lee's NPI number?
The NPI number for Ryan Lee is 1396972709. It was assigned to this individual provider in the NPPES registry on June 12, 2009.
Where is Ryan Lee located?
Ryan Lee practices at 5345 Spring St, Davenport, IA 52807. The listed phone number is (563) 359-1601.
What is Ryan Lee's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Ryan Lee enrolled in Medicare?
No. Ryan Lee has opted out of Medicare through May 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ryan Lee was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Dr. Ryan Bumper Lee, D.D.S. · NPI 1396972709
Oral and Maxillofacial Surgery provider in Davenport, Iowa. Individual provider, active in the CMS NPPES registry since June 12, 2009.
## Identity
- **NPI:** 1396972709 (Entity type: Individual)
- **Enumerated:** June 12, 2009
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 08664 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 5345 SPRING ST, Davenport, IA 52807-2764
- **Phone:** (563) 359-1601
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396972709) · Data from the CMS NPPES public registry.