Jeremy Ryan Vistica is an Orthodontist practicing in Huntington Beach, California. Active license number of Jeremy Ryan Vistica is
109231 for Orthodontics in California. His current practice location is
5512 Maryport Dr, Huntington Beach. Patients can reach him at
503-706-5944. Jeremy Ryan Vistica is
DMD in Orthodontics and his NPI number (Unique professional ID assigned by NPPES) is 1639368582.
Jeremy Ryan Vistica major responsibilities include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Orthodontists are also called dentofacial orthopedics who deals with that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Profile:
Jeremy Ryan Vistica speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthodontics |
| Credentials: | DMD |
| Gender: | Male |
| Practice Address: | 5512 Maryport Dr, Huntington Beach,
California, 92649-4821 |
| Phone: | 503-706-5944 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639368582 |
| NPI Enumeration Date: | 16 Oct, 2007 |
| NPI Last Update On: | 01 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeremy Ryan Vistica are as mentioned below.
| License Number | Specialization | State | Status | |
| 109231 | Orthodontics | California | Primary | |
| 0401417561 | Dentist | Virginia | Secondary | |
| D8993 | Dentist | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeremy Ryan Vistica such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500637605 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12100 Monitor Mckee Rd Ne,
Woodburn, Oregon |
| Zip: | 97071-9089 |
| Phone Number: | 503-706-5944 |
| Fax Number: | -- |
Patients can reach Jeremy Ryan Vistica at
5512 Maryport Dr, Huntington Beach, California or can
call to book an appointment on 503-706-5944.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.