Individual provider Active NPI

Ryan O'Donnell, DDS, MDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1174048060
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60769832 Issued in WA
Practice address
720 Olive Way Ste 810
Seattle, WA 98101-1836
Phone
(206) 628-0404
NPI assigned
Aug 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60769832 WA Primary

Addresses

Primary practice location

720 Olive Way Ste 810
Seattle, WA 98101-1836

Mailing address

12106 SE 26TH St
Bellevue, WA 98005-4119
Phone (258) 908-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60769832WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Odonnell DDS PLLC CurrentSince Jun 15, 2025 Accepting new patients
Gerrarda C. O'Beirne PastSince Jun 15, 2025 Accepting new patients

Locations

720 Olive Way
Ste 810
Seattle, WA 98101
Phone (206) 628-0404

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1174048060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 SE 26TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054119",
            "telephone_number": "258-908-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 810",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011836",
            "telephone_number": "206-628-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS,  MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60769832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.