Ryan Courtin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100728 Issued in CA

Practice address

36 N San Mateo Dr Ste B
San Mateo, CA 94401-4523

Phone

(650) 342-0474

NPI assigned

Aug 29, 2016

Last updated

Feb 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 27, 2017 through Feb 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Courtin Dental Inc

  dba Courtin Family Dentistry

  • Dental Clinic/Center
  • San Mateo, CA
  • NPI 1699457663
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1023564184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N SAN MATEO DR STE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014523",
            "telephone_number": "650-342-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N SAN MATEO DR STE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014523",
            "telephone_number": "650-342-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTIN",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of San Mateo (San Mateo Medical Center)
• County of San Mateo (San Mateo Medical Center)
• County of San Mateo (San Mateo Medical Center)
• County of San Mateo - Public Health
• Courtin Dental Inc (Courtin Family Dentistry)
• Covered Technologies LLC
• Makayla Cowan
• Cindy Acree Cox, NURSE PRACTITIONER
• Shannon Coxon, MS
• Yecica Coyotl

• Dentist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.