Ryan Young Wallrich, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D100556 Issued in CA

Practice address

2322 Caminito Andada
San Diego, CA 92107-1516

Phone

(619) 405-5785

NPI assigned

Jun 24, 2016

Last updated

Mar 9, 2018By the provider in NPPES

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

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.

• Ryan Wallrich DMD, PC

  dba Harbor Family Dental

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1326535576
  NPD Authorized official

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1679924203",
    "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": "2322 CAMINITO ANDADA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071516",
            "telephone_number": "619-405-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLRICH",
        "first_name": "RYAN",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D100556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Wallin
• Samantha Walling, RD
• Kelly Anne Wallis, FNP-C
• Kristen Wallis
• Marina Wallis
• David Allen Walls, MFCC
• Halle Walls, MD
• Maya Denise Walls, RN
• Gary Wallum, COTA/L
• Walmart Inc (Walmart Vision Center 30-5938)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.