Individual provider Active NPI

Ryan Charles Bond, DDS

  • Dentist
  • Everett, WA
National Provider Identifier
1528375474
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60168045 Issued in WA
Practice address
4608 Dogwood Dr Ste a
Everett, WA 98203-2000
Phone
(252) 582-6334
Fax
(360) 570-8275
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60168045 WA Primary

Addresses

Primary practice location

4608 Dogwood Dr Ste a
Everett, WA 98203-2000

Mailing address

4608 Dogwood Dr Ste a
Everett, WA 98203-2000
Phone (425) 258-2633

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.protectedtrust.com Direct

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
DE60168045WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bond Bond PLLC CurrentSince Jun 6, 2021 Accepting new patients

Locations

4608 Dogwood Dr
Ste A
Everett, WA 98203
Phone (425) 258-2633

Organizations & group practices 1

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1528375474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 DOGWOOD DR STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032000",
            "telephone_number": "425-258-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 DOGWOOD DR STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032000",
            "telephone_number": "252-582-6334",
            "fax_number": "360-570-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "RYAN",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60168045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.protectedtrust.com",
            "affiliation": "N",
            "endpointDescription": "Protected trust email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Protected trust email",
            "address_1": "4608 Dogwood Dr Ste A",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982032000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; 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.