Organization Active NPI

Marvin R Nelson DDS

  • General Practice Dentistry
  • Edmonds, WA
National Provider Identifier
1598624009
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARVIN R NELSON DDS
Practice address
209 Dayton St Ste 101
Edmonds, WA 98020-3574
Phone
(425) 775-7325
Fax
(425) 774-6105
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dr. Marvin Ray Nelson, DDSNPI 1639260490
Title
Dentist
Phone
(425) 775-7325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

209 Dayton St Ste 101
Edmonds, WA 98020-3574

Mailing address

209 Dayton St Ste 101
Edmonds, WA 98020-3581
Phone (425) 775-7325

National Provider Directory

National Provider Directory

Locations

209 Dayton St
Ste 101
Edmonds, WA 98020
Phone (425) 775-7325

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1598624009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DAYTON ST STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203581",
            "telephone_number": "425-775-7325",
            "fax_number": "426-774-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DAYTON ST STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203574",
            "telephone_number": "425-775-7325",
            "fax_number": "425-774-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN R NELSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-775-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.