NPIMap

Organization Active NPI

Ryan Rudd DDS, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sequim, WA
National Provider Identifier
1053761387
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 60293923 Issued in WA
Legal business name
RYAN RUDD DDS, MS, PC
Practice address
543 Eureka Way
Sequim, WA 98382-5074
Phone
(360) 683-3787
NPI assigned
Jun 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Ryan Rudd, DDS, MSNPI 1548424500
Title
President
Phone
(360) 683-3787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE 60293923 WA Primary

Addresses

Primary practice location

543 Eureka Way
Sequim, WA 98382-5074

Mailing address

543 Eureka Way
Sequim, WA 98382-5074
Phone (360) 683-3787

Other names 1

  • Sequim Valley Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ryan Rudd DDS Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1053761387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 EUREKA WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825074",
            "telephone_number": "360-683-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 EUREKA WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825074",
            "telephone_number": "360-683-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RUDD DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-683-3787",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 60293923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequim Valley Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.