NPIMap

Organization Active NPI

Ryan Odonnell DDS PLLC

  • Periodontics
  • Seattle, WA
National Provider Identifier
1952296709
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
RYAN ODONNELL DDS PLLC
Practice address
720 Olive Way Ste 810
Seattle, WA 98101-1836
Phone
(206) 628-0404
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Ryan O'Donnell, DDSNPI 1174048060
Title
Owner
Phone
(425) 890-8183

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

720 Olive Way Ste 810
Seattle, WA 98101-1836

Mailing address

12106 SE 26TH St
Bellevue, WA 98005-4119
Phone (425) 890-8183

Other names 1

  • Seattle Periodontics and Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

720 Olive Way
Ste 810
Seattle, WA 98101
Phone (206) 628-0404

Practitioners & affiliated clinicians

Practitioners 6

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": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1952296709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 SE 26TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054119",
            "telephone_number": "425-890-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 810",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011836",
            "telephone_number": "206-628-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN ODONNELL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-890-8183",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.