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Deactivated NPI 1649619073 Deactivated / Inactive NPI Male Practitioner

Dr. Ryan Austin , DDS

Dentist - General Practice • O Fallon, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ryan Austin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2013
NPI Deactivation Date January 19, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Austin, DDS was a registered Dentist - General Practice practicing in O Fallon, MO. Throughout an active medical career spanning 9 years, Dr. Austin provided care at the practice location at 1630 MARKET CENTER DR until profile deactivation on 2022-01-19.

Practice Location & Contact Primary Location

Practice Address

1630 Market Center Dr
Suite 100

O Fallon, MO 633688407

Telephone 6363004380
Fax 6363000073
Associated Practice Facility / Clinic
🏢 Terry M. Trezek Facility NPI 1881041713

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in O Fallon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
33 Specialists

Practicing in O Fallon, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2013016296

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1336598549

Doctor of Dental Surgery

Dr. Kelli Smith , DMD

Dentist - General Practice

NPI 1497323117

Doctor of Dental Medicine

NPI 1932336799

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 19, 2022

Record deactivated on January 19, 2022

NPI Profile Active June 19, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 19, 2013

Registered at 1630 MARKET CENTER DR, SUITE 100, O FALLON, MO 633688407 (Tel: 6363004380)

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Updated Business Mailing Address June 19, 2013

Registered at 1630 MARKET CENTER DR, SUITE 100, O FALLON, MO 633688407 (Tel: 6363004380)

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Provider Name / Credentials Updated June 19, 2013

Recorded as RYAN AUSTIN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2013

Dentist (License #2013016296 in MO)

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Initial NPI Registration & Enumeration June 19, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649619073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2013
Last Update: June 19, 2013
Deactivation Date: January 19, 2022

Mailing Address

1630 Market Center Dr, Suite 100

O Fallon, MO 633688407

Phone: 6363004380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.