Douglas G. Rundle, D.M.D, P.C

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DOUGLAS G. RUNDLE, D.M.D, P.C

Practice address

10121 N Nevada St
Suite 102
Spokane, WA 99218-3120

Phone

(509) 467-7181

Fax

(509) 464-0953

NPI assigned

Aug 13, 2008

Organization subpart

Yes

Parent organization

DOUGLAS G. RUNDLE, D.M.D., P.CAs reported in NPPES

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

Authorized official

Name

Douglas RundleNPI 1609212687

Title

Periodontist

Phone

(509) 467-7181

Specialties & licenses 1

Addresses

Part of

Douglas G Rundle DMD PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Gregg Rundle, D.M.D., M.P.H., M.S.

  • Periodontics
  • Spokane, WA
  • NPI 1609212687
  NPD (past) Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1538315296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 N NEVADA ST",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183120",
            "telephone_number": "509-467-7181",
            "fax_number": "509-464-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 N NEVADA ST",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183120",
            "telephone_number": "509-467-7181",
            "fax_number": "509-464-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS G. RUNDLE, D.M.D, P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS G. RUNDLE, D.M.D., P.C",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "RUNDLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "509-467-7181"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Bailey Dougherty
• Ryne Dougherty
• Kathryn S. Doughty, M.D.
• Vickie Doughty
• Douglas G Demmert Crna
• Douglas W. Lyman, OD, PLLC
• Barbara K Douglas
• Douglas, Grant, Lincoln & Okanogan Public Hospital District 6
• Kory L Douglas, PLMP
• Ronald J Douglas, D.P.M.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.