Kim D Nordberg DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5301 Issued in WA

Legal business name

KIM D NORDBERG DDS, PS

Practice address

11023 Canyon Rd E
Puyallup, WA 98373-4264

Phone

(253) 535-6666

Fax

(253) 535-5432

NPI assigned

Dec 14, 2008

Last updated

May 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peder Nordberg, DDSNPI 1710314158

Title

Owner/Dentist

Phone

(253) 535-6666

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, and the practitioner matching its NPPES authorized official.

• Peder Nordberg, D.D.S.

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1710314158
  NPD Authorized official

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

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1023253424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11023 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734264",
            "telephone_number": "253-535-6666",
            "fax_number": "253-535-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11023 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734264",
            "telephone_number": "253-535-6666",
            "fax_number": "253-535-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM D NORDBERG DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "NORDBERG",
        "authorized_official_first_name": "PEDER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "253-535-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Tang Kiet, MD
• Pamela J Kikillus, PT, DSC
• Deborah Kiley-Gibson, MA
• Lynn Ellen Kilgus, RD
• Kathryn Killingbeck, LMP
• Brian Yongil Kim, M.D.
• Cholwoo Anthony Kim, M.D.
• Dennis Jooyoung Kim, M.D.
• Hyewon Kim
• Jessica Kim, MS, RDN, CD

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.