NPIMap

Organization Active NPI

Ryan Rudd DDS Ms PC

Doing business as Shaltry and Rudd Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Port Angeles, WA
National Provider Identifier
1932443843
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 60293923 Issued in WA
Legal business name
RYAN RUDD DDS MS PC
Doing business as
Shaltry and Rudd Orthodontics
Practice address
611 E 8TH St
Port Angeles, WA 98362-6223
Phone
(360) 457-4991
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Ryan RuddNPI 1548424500
Title
President
Phone
(360) 457-4991

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE 60293923 WA Primary

Addresses

Primary practice location

611 E 8TH St
Port Angeles, WA 98362-6223

Mailing address

611 E 8TH St
Port Angeles, WA 98362-6223

Other names 1

  • Shaltry and Rudd Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ryan Rudd DDS Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

611 E 8th St
Port Angeles, WA 98362
Phone (360) 457-4991

Practitioners & affiliated clinicians

Practitioners 2

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1932443843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626223",
            "telephone_number": "360-457-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RUDD DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-457-4991"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 60293923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaltry and Rudd Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.