Ryan Peter Garske

Primary specialty

DentistTaxonomy code 122300000X

License

DN22788 Issued in FL

Practice address

2532 Race Track Rd Ste B
Saint Johns, FL 32259-4574

Phone

(904) 342-8423

Fax

(904) 679-3226

NPI assigned

Jun 28, 2017

Last updated

Jul 21, 2022By 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

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.

• Comfortable Care Dental Health Professionals, PA

  dba Smiles at Julington Creek

  • General Practice Dentistry
  • Saint Johns, FL
  • NPI 1043760390
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730600958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 RACE TRACK RD STE B",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594574",
            "telephone_number": "904-342-8423",
            "fax_number": "904-679-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 RACE TRACK RD STE B",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594574",
            "telephone_number": "904-342-8423",
            "fax_number": "904-679-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSKE",
        "first_name": "RYAN",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angelina Gavel-Rukha, OD
• Melissa Nicole Gebhardt, APRN
• Geneva Preschool Therapy Center
• Gerald H Fisher & Erika L Fisher, PA (Complete Family Eye Care)
• Aeden Ghebreselassie, CRNP

• Dentist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.