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DR. RYAN WILLIAM TIETZ D.D.S.
NPI 1760471643
Dentist in Hudson, WI

Active since October 13, 2005PECOS Enrolled

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan William Tietz D.d.s. NPPES

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

DR. RYAN WILLIAM TIETZ D.D.S. (NPI 1760471643) is an individual dentist in Hudson, Wisconsin, licensed in Wisconsin (6128-015) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760471643
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RYAN WILLIAM TIETZCredential: D.D.S.
Location Address744 RYAN DRHudson, WI 54016-7979
Mailing Address444 Whitetail PassHudson, WI 54016-7748 · (715) 808-0404
Phone(715) 386-5400
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateSeptember 15, 2009
✔ NPI 1760471643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WI · 6128-015✔ Licensed in MN · D11962
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
744 RYAN DR, Hudson, WI 54016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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 William Tietz D.d.s. 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 54016 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

DR. SARA ELIZABETH LEONETTE CODY DDS
Dentist (General Practice)
744 RYAN DR, SUITE 203
HUDSON, WI 54016
St. Croix County (715) 386-5400
CONSUMER DIRECT FOR WISCONSIN, LLC
Home Health
744 RYAN DR, SUITE 103A
HUDSON, WI 54016
St. Croix County (715) 381-9520

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 Tietz's NPI number?

The NPI number for Ryan Tietz is 1760471643. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Ryan Tietz located?

Ryan Tietz practices at 744 Ryan Dr, Hudson, WI 54016. The listed phone number is (715) 386-5400.

What is Ryan Tietz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ryan Tietz enrolled in Medicare?

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

What insurance does Ryan Tietz accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 7 other insurers list Ryan Tietz 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 Tietz was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.