Roderick William Tataryn, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7248 Issued in WA

Practice address

2700 S Southeast Blvd
Suite 201
Spokane, WA 99223-4984

Phone

(509) 747-7665

Fax

(509) 747-0435

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Roderick W. Tataryn D.D.S., M.S., P.S.

  • Endodontics
  • Spokane, WA
  • NPI 1942414065
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386858587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-747-7665",
            "fax_number": "509-747-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-747-7665",
            "fax_number": "509-747-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARYN",
        "first_name": "RODERICK",
        "middle_name": "WILLIAM",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "7248",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "37293",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "ID",
            "license": "D3042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Anne Tart
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• Dick Stanley Tashiro, PHARM.D
• Dana Tate, LAC
• Dennis Laroy Tatman, CRNA, MAE
• Taylor Kennedy MSW
• Taylor Ridenour Counseling PLLC
• Lisa Louise Taylor-Tussey

• Endodontics in Spokane, WA
• Providers in Spokane, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.