DR. RYAN CHRISTOPHER WALLACE (NPI# 1477875458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477875458 |
| Entity Type | Individual |
| Full Name | DR. RYAN CHRISTOPHER WALLACE |
| Credential | D.D.S. |
| Practice Address |
420 E 3rd St Ste 1008 Los Angeles CA 90013-1648 |
| Practice Telephone | 2136257141 |
| Practice Fax Number | 2136257167 |
| Mailing Telephone | 2136257141 |
| Mailing Fax Number | 2136257167 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
57224 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285070326 | Ryan R Wallace | Physician Assistant | 7226 Crested Butte Dr, Cheyenne, WY 82009-3629 | 2013-05-16 |
| 1447859624 | Ryan J Wallace | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
| 1922663392 | Ryan Lee Wallace | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-05-01 |
| 1760980577 | Ryan M Wallace | Counselor | 117 E 3rd St, Uhrichsville, OH 44683-1818 | 2018-01-26 |
| 1679021497 | Ryan James Wallace | Nurse Practitioner | 525 E Market St, Akron, OH 44304-1619 | 2016-09-21 |
| 1154795078 | Ryan Wallace | Physical Therapist | 5501 N Oracle Rd Ste 101, Tucson, AZ 85704-3850 | 2015-11-16 |
| 1548695075 | Ryan Myles Wallace | Psychiatry & Neurology | 55 Lock St, New Haven, CT 06511 | 2013-09-03 |
| 1316086291 | Ryan C Wallace | Emergency Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-02-06 |
| 1568420354 | Ryan James Wallace | Physical Therapist | 25241 Elementary Way, Ste 200, Bonita Springs, FL 34135-7883 | 2006-05-02 |
| 1003891920 | Ryan Michael Wallace | Emergency Medical Technician, Basic | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2005-12-14 |
| Street Address |
420 E 3RD ST STE 1008 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346780715 | Joshua Behnam Shayefar | Dentist | 420 E 3rd St Ste 1008, Los Angeles, CA 90013-1648 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1144749508 | Jenna Benko | Dentist | 1849 Greenfield Ave Apt 201, Los Angeles, CA 90025 | 2017-09-15 |
| 1033635156 | Lee Professional Dental Corp | Dentist | 10921 Wilshire Blvd Ste 812, Los Angeles, CA 90024-4003 | 2017-08-21 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1235593351 | Eugenio Aquino | Dentist | 814 S Harvard Blvd, Apt 12, Los Angeles, CA 90005 | 2016-04-06 |
| 1710242847 | Stacy L Yu | Dentist | 1435 S Bundy Dr, Apt 5, Los Angeles, CA 90025-2131 | 2012-07-04 |
| 1477825677 | Sil Park | Dentist | 10833 Le Conte Ave Rm A0-156b, Uc Regents Maxillofacial Prosthetics, Los Angeles, CA 90095-1668 | 2012-02-02 |
| 1194013599 | Injoon Bernard Yoo | Dentist | 3600 Wilshire Blvd. Suite 220, Los Angeles, CA 90010 | 2011-07-19 |
| 1134411523 | Michelle Ikoma | Dentist | 925 W 34th St Ste 255, Los Angeles, CA 90089-0641 | 2011-05-04 |
| 1467696278 | Jay Kenneth Huffaker | Dentist | 402 N Larchmont Blvd, Los Angeles, CA 90004-3014 | 2009-04-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
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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.