Active NPI
Nicholas Orlando Runningwolf, DHAT
- Dental Therapist
- Port Angeles, WA
National Provider Identifier
1265350607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- 25-0003-DHAT
- Practice address
- 243511 US-101 E
Port Angeles, WA 98363 - Phone
- (360) 452-6252
- Fax
- (360) 797-1369
- NPI assigned
- Jul 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | 25-0003-DHAT | WA | Primary |
Addresses
Primary practice location
243511 US-101 E
Port Angeles, WA 98363
Mailing address
243511 US-101 E
Port Angeles, WA 98363
Phone (360) 452-6252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1265350607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243511 US-101 E",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98363",
"telephone_number": "360-452-6252",
"fax_number": "360-797-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243511 US-101 E",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98363",
"telephone_number": "360-452-6252",
"fax_number": "360-797-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNNINGWOLF",
"first_name": "NICHOLAS",
"middle_name": "ORLANDO",
"name_prefix": "Mr.",
"credential": "DHAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "WA",
"license": "25-0003-DHAT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.