Individual provider Active NPI

Steven Dirk Bunker, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pasco, WA
National Provider Identifier
1649732108
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DD5616 Issued in NM
Practice address
6825 Burden Blvd Ste C
Pasco, WA 99301-5633
Phone
(509) 943-2505
Fax
(509) 943-9072
NPI assigned
Apr 3, 2019
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD5616 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6825 Burden Blvd Ste C
Pasco, WA 99301-5633

Mailing address

6825 Burden Blvd Ste C
Pasco, WA 99301-5633
Phone (509) 943-2505

Other practice location 1

1520 Jadwin Ave
Richland, WA 99354-2902
Phone (509) 943-2505

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steven@riograndeorthodontics.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
DD5616NMMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Bunker PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Apr 20, 2025 Accepting new patients
Rio Grande Orthodontics LLC Orthodontics and Dentofacial Orthopedics CurrentSince Oct 1, 2022 Accepting new patients
Vest Orthodontics PC Orthodontics and Dentofacial Orthopedics PastSince Oct 1, 2022 Accepting new patients

Locations

3250 Trinity Dr
Ste A
Los Alamos, NM 87544
Phone (505) 662-4555

6825 Burden Blvd
Ste C
Pasco, WA 99301
Phone (509) 943-2505

Interoperability endpoints

  • Direct secure messaging: steven@riograndeorthodontics.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1649732108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD STE C",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015633",
            "telephone_number": "509-943-2505",
            "fax_number": "509-943-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD STE C",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015633",
            "telephone_number": "509-943-2505",
            "fax_number": "509-943-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Jadwin Ave",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993542902",
            "country_code": "US",
            "telephone_number": "509-943-2505",
            "fax_number": "509-943-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNKER",
        "first_name": "STEVEN",
        "middle_name": "DIRK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD5616",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven@riograndeorthodontics.com",
            "affiliation": "N",
            "endpointDescription": "Dr RGO Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3250 Trinity Dr Ste A",
            "city": "Los Alamos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875442226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.