Ryan Andrew Stitzinger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104979 Issued in CA

Practice address

234 N D St
San Bernardino, CA 92401-1702

Phone

(909) 386-7878

NPI assigned

Jul 16, 2020

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Sanjay V Patel DDS a Dental Corporation

  • Dentist
  • San Bernardino, CA
  • NPI 1356658702
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1316555261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27000 W LUGONIA AVE APT 12214",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742098",
            "telephone_number": "909-801-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011702",
            "telephone_number": "909-386-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITZINGER",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Stiansen, M.S., LMFT
• Laroyce Stiles
• Gregory Stills
• Matthew Keith Stilson, M.D.
• Erin Nicole Stines
• Jonathan K Stobaugh, PA-C
• Allyson Stock, DPT
• Traci Stockham
• Katia Sirel Stoletniy, M.D.
• Destiny Tiara Stone

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.