Dan Algot Wiklund, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

MD00018183 Issued in WA

Practice address

929 E Main Ave
Suite 210
Puyallup, WA 98372-3116

Phone

(253) 848-9563

Fax

(253) 840-5519

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Puyallup Dermatology Clinic Inc P.S.

  • Specialist
  • Puyallup, WA
  • NPI 1740281344
  NPD
• Department of Social

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1144295080
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1386645976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E MAIN AVE",
            "address_2": "SUITE 210",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723116",
            "telephone_number": "253-848-9563",
            "fax_number": "253-840-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 E MAIN AVE",
            "address_2": "SUITE 210",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723116",
            "telephone_number": "253-848-9563",
            "fax_number": "253-840-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKLUND",
        "first_name": "DAN",
        "middle_name": "ALGOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "MD00018183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1050863",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND IND",
            "identifier": "53031",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7095656",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP: DEPT L&I",
            "identifier": "53030",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel Wieber
• Shelby Elizabeth Wiedmann
• Robert Ray Wiggins, DDS
• William Scott Wiggins, DDS
• Sanka Wijesinghe, MD
• Lekisha Wilde, ARNP
• Wildwood Healthcare, Inc.
• Shari Wiley
• Jeffery Wilhelm
• Brittney K Wilkinson, LMP

• Procedural Dermatology Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Procedural Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.