Active NPI
Ryan Weller, RDHAP
- Dental Hygienist
- Loma Linda, CA
National Provider Identifier
1689826240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HAP785
- Practice address
- 11092 Anderson Street
Llu School of Dentistry
Loma Linda, CA 92350-0001 - Phone
- (909) 558-4613
- Fax
- (909) 558-4192
- NPI assigned
- Oct 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HAP785 | CA | Primary |
| Dental Hygienist | 124Q00000X | RDH 22326 | CA |
Addresses
Primary practice location
11092 Anderson Street
Llu School of Dentistry
Loma Linda, CA 92350-0001
Mailing address
PO Box 279
Loma Linda, CA 92354-0279
Phone (909) 353-4154
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAP785 | Other | CA | DENTAL HYGIENE BOARD |
| RDH 22326 | Other | CA | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Unknown.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAP785 | CA | MD | Dental Hygienist |
| RDH 22326 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723334400000",
"number": "1689826240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923540279",
"telephone_number": "909-353-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11092 ANDERSON STREET",
"address_2": "LLU SCHOOL OF DENTISTRY",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923500001",
"telephone_number": "909-558-4613",
"fax_number": "909-558-4192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "RYAN",
"name_prefix": "Mrs.",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2024-08-11",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "HAP785",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDH 22326",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENE BOARD",
"identifier": "HAP785",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RDH 22326",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Unknown.com",
"affiliation": "N",
"address_1": "11092 Anderson Street",
"address_2": "LLU School of Dentistry",
"city": "Loma Linda",
"state": "CA",
"country_code": "US",
"postal_code": "923500001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.