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

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00006707 Issued in WA

Practice address

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

Phone

(509) 467-7181

Fax

(509) 464-0953

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas G. Rundle, D.M.D, P.C

  • Periodontics
  • Spokane, WA
  • NPI 1538315296
  NPD (past) Authorized official

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1609212687",
    "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": {
        "last_name": "RUNDLE",
        "first_name": "DOUGLAS",
        "middle_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.P.H., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00006707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Guadalupe Ruiz, M.D.
• Brock Rule
• Abigail Ruley, APRN
• Janie Lee Rumberger, M.ED,M.A.,L.M.H.C.
• Jessica Lisbeth Runbeck, LMT
• Ann Christine Rundquist, RPH
• Luke Hills Runkel
• Terri Runquist, M.S., CCC-SLP
• Kirsten Kaylie Runyan, RN
• Anjali Anil Rupela, OD

• 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 May 16, 2013; 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.