Roderick W. Tataryn D.D.S., M.S., P.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7248 Issued in WA

Legal business name

RODERICK W. TATARYN D.D.S., M.S., P.S.

Practice address

2700 S Southeast Blvd
Suite 201
Spokane, WA 99223-4984

Phone

(509) 747-7665

Fax

(509) 747-0435

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roderick William Tataryn, D.D.S., M.S.NPI 1386858587

Title

Owner-President

Phone

(509) 747-7665

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Roderick William Tataryn, D.D.S., M.S.

  • Endodontics
  • Spokane, WA
  • NPI 1386858587
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942414065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-747-7665",
            "fax_number": "509-747-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-747-7665",
            "fax_number": "509-747-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK W. TATARYN D.D.S., M.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATARYN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "509-747-7665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "7248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cody E Rodenbough, DPT
• Daniel Rodgers, RD
• Devin Rodgers, SUDPT
• Hunter Rodgers
• Jacqueline Rodgers, LMP
• Olivia Irene Rodgers, LMP

• Endodontics in Spokane, WA
• Providers in Spokane, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.