Active NPI
Megan Lee Bond, DDS
- Dentist
- Tumwater, WA
National Provider Identifier
1417204280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60294854
- Practice address
- 1502 Bishop Rd SW
Tumwater, WA 98512 - Phone
- (360) 357-4500
- Fax
- (360) 357-6170
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60294854 | WA | Primary |
Addresses
Primary practice location
1502 Bishop Rd SW
Tumwater, WA 98512
Mailing address
1502 Bishop Rd SW
Tumwater, WA 98512-7354
Phone (360) 357-4500
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60294854 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1417204280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 BISHOP RD SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985127354",
"telephone_number": "360-357-4500",
"fax_number": "360-357-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 BISHOP RD SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512",
"telephone_number": "360-357-4500",
"fax_number": "360-357-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "MEGAN",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60294854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.