Organization Active NPI

Bellingham Endodontics

  • Endodontics
  • Bellingham, WA
National Provider Identifier
1932439726
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9095 Issued in WA
Legal business name
BELLINGHAM ENDODONTICS
Practice address
3628 Meridian St Ste 2D
Bellingham, WA 98225-1735
Phone
(360) 671-3977
Fax
(360) 671-3977
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Dr. Ryan W Wynne, DDS, MSDNPI 1861536013
Title
Owner
Phone
(360) 671-3977

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 9095 WA Primary

Addresses

Primary practice location

3628 Meridian St Ste 2D
Bellingham, WA 98225-1735

Mailing address

3628 Meridian St Ste 2D
Bellingham, WA 98225-1735
Phone (360) 671-3977

National Provider Directory

National Provider Directory

Locations

3628 Meridian St
Ste 2D
Bellingham, WA 98225
Phone (360) 671-3977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1932439726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 2D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-671-3977",
            "fax_number": "360-671-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 2D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-671-3977",
            "fax_number": "360-671-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-671-3977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "9095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.