Ryan Blake, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60796314 Issued in WA

Practice address

721 N Pines Rd Ste 101
Spokane Valley, WA 99206-5225

Phone

(509) 926-1234

NPI assigned

Jun 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1861841918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N PINES RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065225",
            "telephone_number": "435-669-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N PINES RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065225",
            "telephone_number": "509-926-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "10161",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "60796314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BKD Personal Assistance Services LLC
• Elissa Michelle Black, PA-C
• Nicole Black
• Douglas John Blackburn, ATC
• Katiejo Elizabeth Blaisdell
• Thomas Joel Blake, D.D.S., M.S.D.
• Amy Blakeslee
• Ali Kae Blanchette
• Katherine Blanchette, MOTR/L
• Samantha M Blankenburg, OT

• Pediatric Dentistry in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.