RYIAN CRENSHAW
NPI 1639565153
Point of Service in Ponca City, OK

Active since April 10, 2015
410 FAIRVIEW AVE, PONCA CITY, OK 74601(580) 749-4227 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryian Crenshaw NPPES

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

RYIAN CRENSHAW (NPI 1639565153) is an individual point of service provider in Ponca City, Oklahoma, licensed in Oklahoma (1069) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1639565153
Entity TypeIndividualFemale
Primary Taxonomy305S00000X
Provider Legal NameRYIAN CRENSHAW
Location Address410 FAIRVIEW AVEPonca City, OK 74601-1922
Mailing Address410 Fairview AvePonca City, OK 74601-1922 · (580) 749-4227
Sole ProprietorYes
Enumeration DateApril 10, 2015
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedJanuary 4, 2021
NPI 1639565153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in OK · 1069
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

410 FAIRVIEW AVE, Ponca City, OK 74601

Other Providers at the Same Location NPPES 2

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

Hearing Instrument Specialist
410 FAIRVIEW AVE
PONCA CITY, OK 74601
Hearing Instrument Specialist
410 FAIRVIEW AVE
PONCA CITY, OK 74601

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 Ryian Crenshaw's NPI number?

The NPI number for Ryian Crenshaw is 1639565153. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Ryian Crenshaw located?

Ryian Crenshaw practices at 410 Fairview Ave, Ponca City, OK 74601. The listed phone number is (580) 749-4227.

What is Ryian Crenshaw's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Ryian Crenshaw was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.