Hae Rim Ryu DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAE RIM RYU DMD INC.

Practice address

1060 University Ave Ste A201
San Diego, CA 92103-7345

Phone

(619) 543-0112

NPI assigned

Apr 8, 2026

Last updated

Apr 8, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hae Rim Ryu, DMDNPI 1982018909

Title

President

Phone

(206) 832-7702

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hae Rim Ryu, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1982018909
  NPD Authorized official
• Carlo Moreno, D.M.D

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1619047586
  NPD (past)

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1811839889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 AVELLA CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 UNIVERSITY AVE STE A201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037345",
            "telephone_number": "619-543-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAE RIM RYU DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "HAE RIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-832-7702",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lee Hadler, MD
• Emma Hadley
• Jayla Hadley, RN
• Sue Ann Hadley, APRN
• Sophia Hadsall, MD
• Alexander P Haedo-Gonzalez
• Mark Philip Haeger, DDS
• Jason Scot Haeussinger, ATC, CSCS
• Meghan Summer Haff, ACSW, MSW
• Sara Marie Haffey, BCBA

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.