Heather Rybar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.029775 Issued in IL

Practice address

21St Medical Group
559 Vincent St, Space Base Delta 1
Peterson Space Force Base, CO 80914

Phone

(630) 621-2059

NPI assigned

Aug 5, 2014

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1447669247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21ST MEDICAL GROUP",
            "address_2": "559 VINCENT ST, SPACE BASE DELTA 1",
            "city": "PETERSON SPACE FORCE BASE",
            "state": "CO",
            "postal_code": "80914",
            "telephone_number": "719-567-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21ST MEDICAL GROUP",
            "address_2": "559 VINCENT ST, SPACE BASE DELTA 1",
            "city": "PETERSON SPACE FORCE BASE",
            "state": "CO",
            "postal_code": "80914",
            "telephone_number": "630-621-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBAR",
        "first_name": "HEATHER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bashir El-Khoury, MD
• Samantha Laurelin Fil, NP
• Heather Smith Harvey, PT PHYSICAL THERAPIS
• Kathryn E O'Connell, LCSW
• Yesenia Marie Rivera, NP
• Kyle Patrick Smith, PHARMD
• Jena Sullenberger, RN
• Kyle Warf, DPT
• Jeffrey Wentz, MD
• Brittany Wheat

• General Practice Dentistry in Peterson Space Force Base, CO
• Providers in Peterson Space Force Base, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.