Ryan Del Mundo Cordero, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60568578 Issued in WA

Practice address

2501 N Pearl St
Tacoma, WA 98406-2540

Phone

(253) 752-6349

NPI assigned

Jul 20, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rcordero452667@direct.multicare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Justin Moody, PLLC

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1194577171
  NPD (past)
• West Tacoma Dental LLC

  • Dentist
  • Tacoma, WA
  • NPI 1518237221
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1033594072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7759 N SILVERBELL RD",
            "address_2": "APT. 8202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857438275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062540",
            "telephone_number": "253-752-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "RYAN",
        "middle_name": "DEL MUNDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60568578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilany Corales-Lora
• Marli Corbett, PHD
• Destiny Corbin
• Connie Corcoran, MD
• Jami Lynn Cordero
• Pamela Yevette Cordis Ponce, LICSW
• Erlinda Llesis Cordita, RN,BSN,CLNC
• Melissa Cordova, AU.D.
• Lyndsey M Corey, MHA
• Akylah Corkum

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.