Ryan Walter Bohnstedt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61356978 Issued in WA

Practice address

300 SE 120TH Ave Ste 400
Vancouver, WA 98683-4020

Phone

(360) 256-3570

NPI assigned

Sep 21, 2022

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• Martin J Matovich DMD LLC

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1013480573
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1831812148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE 120TH AVE STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834020",
            "telephone_number": "360-256-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 120TH AVE STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834020",
            "telephone_number": "360-256-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNSTEDT",
        "first_name": "RYAN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61356978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Boge, FNP
• Sara Marie Peters Boggis, MS
• Danielle Boggs, LMP
• Kathryn Ruud Bogue, LMT
• Thomas Albert Bohna, LD
• Wendy Ernestina Bohon Ferrer
• Gregory W Boice, DMD
• Carol L Boire, LMT
• Syed Amin Bokhari, MD
• Mackenzie M Bolden, M.S.

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.