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DR. RYAN HEASLEY D.M.D.
NPI 1245689033
Dentist in San Diego, CA

Active since June 13, 2016
3480 BOB WILSON DR, 3480 BOB WILSON DRIVE, SAN DIEGO, CA 92134(619) 532-7935 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2019, Jun 13, 2016 (2 updates tracked since 2016).

About Dr. Ryan Heasley D.m.d. NPPES

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

DR. RYAN HEASLEY D.M.D. (NPI 1245689033) is an individual dentist in San Diego, California, licensed in Pennsylvania (DS041011) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1245689033
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RYAN HEASLEYCredential: D.M.D.
Location Address3480 BOB WILSON DR, 3480 BOB WILSON DRIVESan Diego, CA 92134-5000
Mailing Address2565 San Juan StCoupeville, WA 98239-9765 · (814) 657-3585
Phone(619) 532-7935
Sole ProprietorNo
Enumeration DateJune 13, 2016
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
✔ NPI 1245689033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS041011
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3480 BOB WILSON DR, San Diego, CA 92134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Heasley's NPI number?

The NPI number for Ryan Heasley is 1245689033. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Ryan Heasley located?

Ryan Heasley practices at 3480 Bob Wilson Dr 3480 Bob Wilson Drive, San Diego, CA 92134. The listed phone number is (619) 532-7935.

What is Ryan Heasley's specialty?

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

What insurance does Ryan Heasley accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ryan Heasley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Heasley was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.