R. David Rynearson, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22024 Issued in CA

Practice address

11401 Heacock St Ste 300
Moreno Valley, CA 92557-7908

Phone

(951) 247-7228

NPI assigned

Aug 24, 2011

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1629358429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 HEACOCK ST STE 300",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577908",
            "telephone_number": "951-247-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 HEACOCK ST STE 300",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577908",
            "telephone_number": "951-247-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNEARSON",
        "first_name": "R. DAVID",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "22024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Bernard Russell, ACSW
• Bezon Adil Rustomi, DO
• Benjamin Rutanhira
• Daniel Ruvalcaba
• Rossana Ruvalcaba, RDN
• Mena Y Saad, DO
• Merett W Saad, DO
• Rocio Saavedra
• Roanne Colyn Gueta Sabal, MS, BCBA
• Georgette Sabbah

• Orthodontics and Dentofacial Orthopedics Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.