Organization Active NPI

Ryan a. Martin, DMD, LLC

Doing business as Summit Endodontics

  • Endodontics
  • Bend, OR
National Provider Identifier
1730802588
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
RYAN A. MARTIN, DMD, LLC
Doing business as
Summit Endodontics
Practice address
2225 NW Shevlin Park Rd Ste 140
Bend, OR 97703-7195
Phone
(541) 595-8063
NPI assigned
Sep 26, 2022
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Dr. Ryan Martin, DMDNPI 1306220652
Title
Owner
Phone
(775) 881-8981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

2225 NW Shevlin Park Rd Ste 140
Bend, OR 97703-7195

Mailing address

2766 NW Rainbow Ridge Dr
Bend, OR 97703-8722
Phone (775) 881-8981

Other names 1

  • Summit Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2225 NW Shevlin Park Rd
Ste 140
Bend, OR 97703
Phone (541) 595-8063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1730802588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 NW RAINBOW RIDGE DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038722",
            "telephone_number": "775-881-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 NW SHEVLIN PARK RD STE 140",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037195",
            "telephone_number": "541-595-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN A. MARTIN, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-881-8981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.