Ryan A Estelle, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030535L Issued in PA

Practice address

468 E Main St
Suite 200
Collegeville, PA 19426-2607

Phone

(610) 489-4311

Fax

(610) 454-9861

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 3, 2024 through Sep 3, 2026

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 and National Provider Directory roles.

• Collegeville Dental Associates PC

  • Dentist
  • Collegeville, PA
  • NPI 1396851937
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952329286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262607",
            "telephone_number": "610-489-4311",
            "fax_number": "610-454-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262607",
            "telephone_number": "610-489-4311",
            "fax_number": "610-454-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELLE",
        "first_name": "RYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "030535L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Therapy Services LLC (Pivot Physical Therapy of Mid Atlantic LLC)
• East Norriton Physicians Services (Mercy Family Medicine at Collegeville)
• Susan Edgar-Smith, PH.D.
• Jennifer M Ellis, LPC
• Ogbugo Kalu Emeh, M.D
• Evergreen Care LLC
• Eye Store-Shoppe LLC
• Eyelash Vision, LLC (Pearle Vision)
• Kaseim Ezell
• Korlu Ezike, LCSW

• General Practice Dentistry in Collegeville, PA
• Providers in Collegeville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.