Ryan Wallrich DMD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

100556 Issued in CA

Legal business name

RYAN WALLRICH DMD, PC

Practice address

1310 Rosecrans St Ste B
San Diego, CA 92106-4609

Phone

(619) 405-5785

NPI assigned

Apr 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Young Wallrich, DMDNPI 1679924203

Title

Dentist/Owner

Phone

(619) 405-5785

Specialties & licenses 1

Addresses

Other names 1

• Harbor Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Young Wallrich, D.M.D.

  • Dentist
  • San Diego, CA
  • NPI 1679924203
  NPD Authorized official

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1326535576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 CAMINITO ANDADA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071516",
            "telephone_number": "619-405-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ROSECRANS ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921064609",
            "telephone_number": "619-405-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN WALLRICH DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "WALLRICH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "619-405-5785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "100556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ruzich, PHARMD
• RWW Home & Community Rehab Services, Inc.
• Ryan M. Wilke, D.O., a Medical Corporation
• Kaila Ryan Nduaguba, PT
• Ryan Silbernick
• Ryan Wang MD a Professional Corporation
• Ryan William McIntyre, MD Inc.
• Anna R Ryan, PHD LMFT
• Ashley Ryan
• Candice Ryan, BCBA, NCLBA

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.