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DR. RYAN LAVENE DDS
NPI 1659500940
Dentist - Endodontics in Lake Havasu City, AZ

Active since July 07, 2009Opted out of Medicare · through May 24, 2027
2152 MCCULLOCH BLVD N STE C, LAKE HAVASU CITY, AZ 86403(928) 854-5551(928) 733-6128 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ryan Lavene Dds NPPES

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

DR. RYAN LAVENE DDS (NPI 1659500940) is an individual endodontics provider in Lake Havasu City, Arizona, licensed in Arizona (8793) and active in the NPI registry since July 2009. He has opted out of Medicare through May 24, 2027.

NPPES Registry Identity

NPI1659500940
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. RYAN LAVENECredential: DDS
Location Address2152 MCCULLOCH BLVD N STE CLake Havasu City, AZ 86403-6805
Mailing Address2152 Mcculloch Blvd N Ste CLake Havasu City, AZ 86403-6805 · (928) 854-5551 · Fax (928) 733-6128
Phone(928) 854-5551
Fax(928) 733-6128
Sole ProprietorNo
Enumeration DateJuly 7, 2009
Last NPPES UpdateOctober 22, 2019
✔ NPI 1659500940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in AZ · 8793
Definition
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.
2152 MCCULLOCH BLVD N STE C, Lake Havasu City, AZ 86403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona.Insurance ›

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 Lavene Dds 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 24, 2021 through May 24, 2027.

Opt-Out Effective DateMay 24, 2021
Opt-Out In Effect ThroughMay 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. REBECCA ANN LAVENE D.M.D
Dentist (Periodontics)
2152 MCCULLOCH BLVD N STE C
LAKE HAVASU CITY, AZ 86403
Mohave County (310) 947-2631
DENTAL SPECIALISTS OF NW ARIZONA
Dentist (Periodontics)
2152 MCCULLOCH BLVD N STE C
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-5551

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 Lavene's NPI number?

The NPI number for Ryan Lavene is 1659500940. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Ryan Lavene located?

Ryan Lavene practices at 2152 Mcculloch Blvd N Ste C, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-5551.

What is Ryan Lavene's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Ryan Lavene enrolled in Medicare?

No. Ryan Lavene has opted out of Medicare through May 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ryan Lavene accept?

Health plans from Delta Dental of Arizona list Ryan Lavene 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 Lavene was last updated on October 22, 2019. 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.