RYAN WALLRICH DMD, PC (NPI# 1326535576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326535576 |
| Entity Type | Organization |
| Organization Name | RYAN WALLRICH DMD, PC |
| Other Organization Name | HARBOR FAMILY DENTAL |
| Practice Address |
1310 Rosecrans St Ste B San Diego CA 92106-4609 |
| Mailing Address |
2322 Caminito Andada San Diego CA 92107-1516 |
| Practice Telephone | 6194055785 |
| Mailing Telephone | 6194055785 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | DR. RYAN YOUNG WALLRICH (DENTIST/OWNER) |
| Authorized Official Telephone | 6194055785 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
100556 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harbor Family Dental | Doing Business As Name - Organization |
| Street Address |
1310 ROSECRANS ST STE B |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
| Find all providers in zip 92106 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776812 | Andy L. Tieu Dds Inc. | Clinic/Center | 10549 Scripps Poway Pkwy Ste I, San Diego, CA 92131-3963 | 2020-07-01 |
| 1851925481 | Santos Salsbury Dental Corporation | Clinic/Center | 6699 Alvarado Rd Ste 2202, San Diego, CA 92120-5293 | 2020-02-22 |
| 1194365015 | Valadez Dental Corp | Clinic/Center | 2650 Camino Del Rio N Ste 102, San Diego, CA 92108-1630 | 2020-01-08 |
| 1619434065 | Marco Savittieri, Dds., Inc. | Clinic/Center | 12613 El Camino Real Unit A, San Diego, CA 92130-4077 | 2019-02-21 |
| 1760977516 | Jeremy Walker Dental Corporation | Clinic/Center | 3330 3rd Ave Ste 302, San Diego, CA 92103-5639 | 2018-06-25 |
| 1235629502 | Ricardo Peralta Dds Inc | Clinic/Center | 9855 Erma Rd Ste 103, San Diego, CA 92131-1007 | 2018-05-12 |
| 1356847438 | Arvinda Reddy Kunduru, Dds Inc. | Clinic/Center | 5440 Morehouse Dr Ste 1800, San Diego, CA 92121-6705 | 2018-04-05 |
| 1447767447 | Florabel F. Oliver-badillo Dmd, Inc. | Clinic/Center | 10717 Camino Ruiz Ste 122, San Diego, CA 92126-2362 | 2017-12-29 |
| 1073036539 | Balboa Family Dentistry | Clinic/Center | 3737 Moraga Ave Ste B307, San Diego, CA 92117-5360 | 2017-07-17 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.