NPIMap

Organization Active NPI

Ryan Walker DDS PLLC

  • Pediatric Dentistry
  • Sammamish, WA
National Provider Identifier
1003211772
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE 60140259 Issued in WA
Legal business name
RYAN WALKER DDS PLLC
Doing business as
Sammamish Pediatric Dentistry
Practice address
336 228TH Ave NE
Ste 301
Sammamish, WA 98074-7289
Phone
(206) 999-5941
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Walker, DDS
Title
Owner
Phone
(206) 999-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE 60140259 WA Primary

Addresses

Primary practice location

336 228TH Ave NE
Ste 301
Sammamish, WA 98074-7289

Mailing address

336 228TH Ave NE
Ste 301
Sammamish, WA 98074-7289
Phone (206) 999-5941

Other names 1

  • Sammamish Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

336 228th Ave NE
Ste 301
Sammamish, WA 98074
Phone (206) 999-5941

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1003211772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 228TH AVE NE",
            "address_2": "STE 301",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747289",
            "telephone_number": "206-999-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 228TH AVE NE",
            "address_2": "STE 301",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747289",
            "telephone_number": "206-999-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN WALKER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-999-5941",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE 60140259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sammamish Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.