IndividualActive
Ryan Bastyr, DMD
NPI 1609759323 · Dentist · Great Lakes, IL
Ryan Bastyr, DMD is a Dentist provider in Great Lakes, IL (NPI 1609759323).
Provider details
- NPI number
- 1609759323
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS045379 (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2410 Sampson St
Great Lakes, IL 60088-2942
Phone: (847) 688-2469
Street-level locationGet directions
Mailing address
420 Timberlake Dr
Venetia, PA 15367-1394
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2025-07-29
- Certified
- 2025-06-30
Frequently asked questions
- What is Ryan Bastyr's NPI number?
- Ryan Bastyr's National Provider Identifier (NPI) is 1609759323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Bastyr's specialty?
- Ryan Bastyr is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ryan Bastyr located?
- Ryan Bastyr's practice location on file with NPPES is 2410 Sampson St, Great Lakes, IL 60088-2942.
- What is Ryan Bastyr's phone number?
- The practice phone number listed in the NPPES registry for Ryan Bastyr is (847) 688-2469.
- Is Ryan Bastyr's NPI active?
- Yes — Ryan Bastyr's NPI (1609759323) is active in the NPPES registry as of the last update on 2025-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.