RYAN KEITH HARRIS DMD
NPI 1740617992
Dentist - General Practice in Bolivar, MO

Active since October 02, 2013PECOS Enrolled
121 N MAIN AVE, BOLIVAR, MO 65613(417) 422-4540 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Keith Harris Dmd NPPES

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

RYAN KEITH HARRIS DMD (NPI 1740617992) is an individual general practice provider in Bolivar, Missouri, licensed in Missouri (2021016226) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740617992
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRYAN KEITH HARRISCredential: DMD
Location Address121 N MAIN AVEBolivar, MO 65613-1517
Mailing Address121 N Main AveBolivar, MO 65613-1517 · (417) 422-4540
Sole ProprietorYes
Enumeration DateOctober 2, 2013
Last NPPES UpdateApril 21, 2022
NPPES CertifiedApril 21, 2022
NPI 1740617992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2021016226
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.

Also ListedDentistTaxonomy 122300000X · License D-4515 (ID)
121 N MAIN AVE, Bolivar, MO 65613

Accepted 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)

Ryan Keith Harris Dmd 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 65613 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 2

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

Dentist
121 N MAIN AVE
BOLIVAR, MO 65613
Clinic/Center (Dental)
121 N MAIN AVE
BOLIVAR, MO 65613

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 Harris's NPI number?

The NPI number for Ryan Harris is 1740617992. It was assigned to this individual provider in the NPPES registry on October 2, 2013.

Where is Ryan Harris located?

Ryan Harris practices at 121 N Main Ave, Bolivar, MO 65613. The listed phone number is (417) 422-4540.

What is Ryan Harris's specialty?

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

Is Ryan Harris enrolled in Medicare?

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

What insurance does Ryan Harris accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Ryan Harris 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 Harris was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.