William Charles Bode, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00011017 Issued in WA

Practice address

2006 Caton Way SW
Olympia, WA 98502-1119

Phone

(360) 742-3912

Fax

(360) 943-3343

NPI assigned

Jul 17, 2007

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Russell and Bode DDS PLLC

  • Dentist
  • Olympia, WA
  • NPI 1902215452
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1396944591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021119",
            "telephone_number": "360-742-3912",
            "fax_number": "360-943-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021119",
            "telephone_number": "360-742-3912",
            "fax_number": "360-943-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Wave Eye Doctors Professional Limited Liability Company
• Melissa Dawn Bluestein-Rogers, FNP-C
• Bryan Neil Blumer, PA-C
• Harrison A Bly
• Eileen Bochsler, RD
• Bodhi ABA
• Pamela Kay Bodine
• Rosemarie Cilia Bodine I
• Rebecca M Bodle-Shingu, ARNP
• Rodger Dante Bodoia, MD

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.