Active NPI
Ryan Bushman, DMD
- Dentist
- Spokane Valley, WA
National Provider Identifier
1851880934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60855064
- Practice address
- 919 N Pines Rd
Spokane Valley, WA 99206 - Phone
- (509) 924-0381
- NPI assigned
- May 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60855064 | WA | Primary |
Addresses
Primary practice location
919 N Pines Rd
Spokane Valley, WA 99206
Mailing address
919 N Pines Rd
Spokane Valley, WA 99206-4932
Phone (509) 924-0381
Other practice location 1
82 E Francis Ave
Spokane, WA 99208
Phone (509) 484-4746
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153536142 | Other | AMERICAN DENTAL ASSOCIATION | |
| 2102572 | Medicaid | WA | |
| DE60855064 | Other | WA | WA STATE DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60855064 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan a Bushman DMD & Chase D Davis DDS PLLC | Current | Accepting new patients | |
| Ryan Bushman DMD & Chase Davis DDS PLLC | Dentist | Past | Accepting new patients |
| Hero Dental of Spokane PC | Past | Accepting new patients |
Locations
919 N Pines Rd
Spokane Valley, WA 99206
Phone (509) 240-9339
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Spokane Valley, WA
- NPI 1871144212
-
- General Practice Dentistry
- Spokane, WA
- NPI 1598934853
-
- Dentist
- Medical Lake, WA
- NPI 1679213375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1851880934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 N PINES RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064932",
"telephone_number": "509-924-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N PINES RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99206",
"telephone_number": "509-924-0381"
}
],
"practiceLocations": [
{
"address_1": "82 E Francis Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "99208",
"country_code": "US",
"telephone_number": "509-484-4746",
"fax_number": "509-484-8281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSHMAN",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60855064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DENTAL ASSOCIATION",
"identifier": "153536142",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2102572",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPARTMENT OF HEALTH",
"identifier": "DE60855064",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.