Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245689033 Individual Practitioner Male Practitioner

Dr. Ryan Heasley , DMD

Dentist • San Diego, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Heasley, DMD is a registered healthcare professional specializing in Dentist in San Diego, CA. Practice services are available at 3480 BOB WILSON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3480 Bob Wilson Dr
3480 Bob Wilson Drive

San Diego, CA 921345000

Telephone 6195327935

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 49.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
567 Specialists

Practicing in San Diego, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS041011

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Melissa Milder

Student in an Organized Health Care Education/Training Program

NPI 1043730120
NPI 1043746647

Doctor of Dental Surgery

NPI 1073008470

Doctor of Dental Medicine

Dr. Tyler Martini , DDS

Student in an Organized Health Care Education/Training Program

NPI 1124474051

Doctor of Dental Surgery

Dr. Marilyn Andersen , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1174976690

Doctor of Dental Surgery

Dr. Joshua Buss , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1225486277

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 26, 2019

Registered at 2565 SAN JUAN ST, COUPEVILLE, WA 982399765 (Tel: 8146573585)

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2016

Registered at 3480 BOB WILSON DR, 3480 BOB WILSON DRIVE, SAN DIEGO, CA 921345000 (Tel: 6195327935)

📍
Updated Business Mailing Address June 13, 2016

Registered at 3480 BOB WILSON DR, NAVAL MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 921345000 (Tel: 6195327935)

👤
Provider Name / Credentials Updated June 13, 2016

Recorded as RYAN HEASLEY, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245689033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2016
Last Update: August 26, 2019
Sole Proprietor: No

Mailing Address

2565 San Juan St

Coupeville, WA 982399765

Phone: 8146573585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.