Susan Ahlene Nordstrom, DMD MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE 00010334 Issued in WA

Practice address

910 NE 82ND St
Vancouver, WA 98665-8847

Phone

(360) 546-0183

Fax

(360) 546-0223

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Ahlene Guentzel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1205984655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245611",
            "telephone_number": "503-952-2164",
            "fax_number": "503-526-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NE 82ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658847",
            "telephone_number": "360-546-0183",
            "fax_number": "360-546-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "SUSAN",
        "middle_name": "AHLENE",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 00010334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GUENTZEL",
            "middle_name": "AHLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffiney Corice Nordby, LMP
• Robin Nordlum, LDO
• Craig M Nordmeier, PA-C
• Nordstrom Achatz Dental, LLC
• Eric Mikkonen Nordstrom, M.D.
• Kari Jean Norick, R.PH.
• Kerri Suzanne Norman, LMP
• Teresa A Norman, ARNP
• Tori Marie Norman, WHNP-BC
• Tracy Norman

• Orthodontics and Dentofacial Orthopedics Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.