JEREMY RYAN VISTICA (DMD) – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1639368582

JEREMY RYAN VISTICA (DMD) is a healthcare provider. based in Siletz, Oregon. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold the professional credentials DMD. They hold a License No. 0401417561 (VA). The NPI Number for JEREMY RYAN VISTICA (DMD) is 1639368582

Main info

Male
Name
JEREMY RYAN VISTICA (DMD)
NPI
1639368582
Phone
(541) 444-1030
Address
200 GWEE SHUT RD
Enumeration Date
16 October 2007
Last Update Date
1 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

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Provider Addresses for JEREMY RYAN VISTICA (DMD)

  • Gwee-Shut Road, Siletz, Lincoln County, Oregon, 97380, United States

    SILETZ, OR 973802036

    Phone: (541) 444-1030

    Fax: (541) 444-9678

    Type: Location

  • 5512 MARYPORT DR

    HUNTINGTON BEACH, CA 926494821

    Phone: (503) 706-5944

    Type: Location

  • PO BOX 320

    SILETZ, OR 973800320

    Phone: (541) 444-1030

    Fax: (541) 444-9678

    Type: Mailing

  • 12100 MONITOR MCKEE RD NE

    WOODBURN, OR 970719089

    Phone: (503) 706-5944

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,106.

Total Amount is formed as General ($1,106) + Research ($0) + Ownership ($0) = $1,106.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Align Technology, Inc. ($880).

Total Amount

$1,106

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97380)

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Reviews

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Frequently asked questions

Is there an official ID for JEREMY RYAN VISTICA (DMD) in U.S. healthcare records?
The official identifier for JEREMY RYAN VISTICA (DMD) is NPI 1639368582.
Would JEREMY RYAN VISTICA (DMD) appear as active to a payer?
You can treat JEREMY RYAN VISTICA (DMD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JEREMY RYAN VISTICA (DMD)?
JEREMY RYAN VISTICA (DMD) is associated with Orthodontics and Dentofacial Orthopedics Dentistry in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEREMY RYAN VISTICA (DMD)?
Travel planning: use Siletz, Oregon as the reference point for JEREMY RYAN VISTICA (DMD), then confirm.
When was this NPI issued?
Enumeration for JEREMY RYAN VISTICA (DMD) is noted as October 16, 2007 where the registry provides it.

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