Individual provider Active NPI

Ryan Jon Bond, DMD

  • Dentist
  • Longmont, CO
National Provider Identifier
1902191737
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10445 Issued in CO
Practice address
1325 Hover St Ste 201
Longmont, CO 80501-3176
Phone
(303) 772-8020
Fax
(303) 772-1525
NPI assigned
Jun 9, 2011
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10445 CO Primary

Addresses

Primary practice location

1325 Hover St Ste 201
Longmont, CO 80501-3176

Mailing address

1325 Hover St Ste 201
Longmont, CO 80501-3176
Phone (303) 772-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10445COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Bond DMD PC Dentist Current Accepting new patients

Locations

1361 Francis St
Ste 202
Longmont, CO 80501
Phone (303) 772-8020

Organizations & group practices 1

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1902191737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 201",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013176",
            "telephone_number": "303-772-8020",
            "fax_number": "303-772-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 201",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013176",
            "telephone_number": "303-772-8020",
            "fax_number": "303-772-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "RYAN",
        "middle_name": "JON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.