DOUGLAS G. RUNDLE, D.M.D, P.C (NPI# 1538315296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538315296 |
| Entity Type | Organization |
| Organization Name | DOUGLAS G. RUNDLE, D.M.D, P.C |
| Practice Address |
10121 N Nevada St Suite 102 Spokane WA 99218-3120 |
| Practice Telephone | 5094677181 |
| Practice Fax Number | 5094640953 |
| Mailing Telephone | 5094677181 |
| Mailing Fax Number | 5094640953 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | DOUGLAS RUNDLE (PERIODONTIST) |
| Authorized Official Telephone | 5094677181 |
| Is Organization Subpart | Y |
| Parent Organization Name | DOUGLAS G. RUNDLE, D.M.D., P.C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
10121 N NEVADA ST SUITE 102 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518949387 | Brent Lynn Child | Dentist | 10121 N Nevada St, Suite 101, Spokane, WA 99218-3120 | 2005-11-17 |
| 1467908921 | James P. Dorosh Dds | Dentist | 10121 N Nevada St, Suite 301, Spokane, WA 99218-3120 | 2016-08-25 |
| 1609212687 | Douglas Gregg Rundle | Dentist | 10121 N Nevada St, Suite 102, Spokane, WA 99218-3120 | 2013-05-16 |
| 1558631242 | Shannon I. Magnuson, Dds, Msd, Ps | Dentist | 10121 N Nevada St, Suite 201, Spokane, WA 99218-3120 | 2012-01-11 |
| 1326318643 | Andrew F. Heidergott, Dds, Ps | Dentist | 10121 N Nevada St, Suite 202, Spokane, WA 99218-3120 | 2012-01-03 |
| 1508183450 | Shannon I Magnuson | Dentist | 10121 N Nevada St, Suite 201, Spokane, WA 99218-3120 | 2010-04-30 |
| 1619178522 | James Paul Dorosh | Dentist | 10121 N Nevada St, Ste. 301, Spokane, WA 99218-3120 | 2007-05-29 |
| 1306880646 | Bruce B. Harsha, Dds, Ps | Dentist | 10121 N Nevada St, Suite 101, Spokane, WA 99218-3120 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265642375 | David W Engen Dds Ps | Dentist | 6817 N Cedar Rd Ste 202, Spokane, WA 99208-4277 | 2007-05-23 |
| 1659596948 | David Wayne Engen | Dentist | 9911 N Nevada St Ste 110, Spokane, WA 99218 | 2007-04-13 |
| 1124163068 | Gary Michael Shellerud | Dentist | 508 W 6th Ave Ste 208, Spokane, WA 99204-2730 | 2007-02-20 |
| 1538256854 | Steven D Aeschliman | Dentist | 15 E Central Ave, Spokane, WA 99208-1109 | 2006-10-06 |
| 1336235472 | Anthony G Giardino | Dentist | 2700 S Southeast Blvd Ste 210, Spokane, WA 99223-4984 | 2006-10-05 |
| 1831708833 | Andrea Pizzini | Dentist | 9911 N Nevada St, Spokane, WA 99218-1298 | 2020-07-24 |
| 1629524061 | South Hill Periodontics | Dentist | 2700 S Southeast Blvd, Suite 210, Spokane, WA 99223-4984 | 2016-08-26 |
| 1104372556 | Gary M Shellerud Dds | Dentist | 508 W 6th Ave Ste 208, Spokane, WA 99204-2730 | 2016-08-26 |
| 1609212687 | Douglas Gregg Rundle | Dentist | 10121 N Nevada St, Suite 102, Spokane, WA 99218-3120 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1922632843 | Jessica Hsu | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-02-29 |
| 1992338891 | Ehsan Zahedi | Dentist | 18009 Highway 99 Ste F, Lynnwood, WA 98037-4499 | 2020-02-19 |
| 1780142729 | Shoko Sato | Dentist | 2505 S 320th St Ste 330, Federal Way, WA 98003-5461 | 2019-03-08 |
| 1942738497 | Yu Lwo | Dentist | 1740 Nw Maple St Ste 110, Issaquah, WA 98027-8000 | 2017-05-30 |
| 1134677792 | Mill Creek Implants & Periodontics | Dentist | 15130 Main St Ste 210, Mill Creek, WA 98012-7370 | 2016-09-13 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.