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RYAN COURTIN DDS
NPI 1023564184
Dentist in San Mateo, CA

Active since August 29, 2016Opted out of Medicare · through Feb 27, 2027
36 N SAN MATEO DR STE B, SAN MATEO, CA 94401(650) 342-0474 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2018, Aug 29, 2016 (2 updates tracked since 2016).

About Ryan Courtin Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN COURTIN DDS (NPI 1023564184) is an individual dentist in San Mateo, California, licensed in California (100728) and active in the NPI registry since August 2016. He has opted out of Medicare through February 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023564184
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRYAN COURTINCredential: DDS
Location Address36 N SAN MATEO DR STE BSan Mateo, CA 94401-4523
Mailing Address36 N San Mateo Dr Ste BSan Mateo, CA 94401-4523 · (650) 342-0474
Phone(650) 342-0474
Sole ProprietorYes
Enumeration DateAugust 29, 2016
Last NPPES UpdateFebruary 26, 20182 updates tracked since enumeration
✔ NPI 1023564184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 100728
Definition
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.
36 N SAN MATEO DR STE B, San Mateo, CA 94401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ryan Courtin Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2017 through February 27, 2027.

Opt-Out Effective DateFebruary 27, 2017
Opt-Out In Effect ThroughFebruary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTIN DENTAL INC
Clinic/Center (Dental)
36 N SAN MATEO DR STE B
SAN MATEO, CA 94401
San Mateo County (650) 342-0474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Courtin's NPI number?

The NPI number for Ryan Courtin is 1023564184. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Ryan Courtin located?

Ryan Courtin practices at 36 N San Mateo Dr Ste B, San Mateo, CA 94401. The listed phone number is (650) 342-0474.

What is Ryan Courtin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ryan Courtin enrolled in Medicare?

No. Ryan Courtin has opted out of Medicare through February 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ryan Courtin was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.