NPIMap

Organization Active NPI

Ryan Watkins DDS Inc.

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1851698484
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52130 Issued in CA
Legal business name
RYAN WATKINS DDS INC.
Practice address
950 Vista Village Dr
Vista, CA 92084-6064
Phone
(760) 274-0993
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Dr. Ryan Patrick Watkins, D.D.S.NPI 1104954999
Title
President
Phone
(805) 405-4975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52130 CA Primary

Addresses

Primary practice location

950 Vista Village Dr
Vista, CA 92084-6064

Mailing address

950 Vista Village Dr
Vista, CA 92084-6064
Phone (760) 720-0451

Other identifiers 1

IdentifierTypeStateIssuer
PQ8456OtherCASAN DIEGO REGIONAL CENTER

Other names 1

  • Dreamtime Dentistry Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3039 Jefferson St
Ste A
Carlsbad, CA 92008
Phone (805) 405-4975

950 Vista Village Dr
Vista, CA 92084
Phone (760) 274-0993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1851698484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 VISTA VILLAGE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846064",
            "telephone_number": "760-720-0451",
            "fax_number": "866-779-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 VISTA VILLAGE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846064",
            "telephone_number": "760-274-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN WATKINS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-405-4975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAN DIEGO REGIONAL CENTER",
            "identifier": "PQ8456",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dreamtime Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dreamtime Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.