Individual provider Active NPI

Erik Melvin Tjelmeland, DDS

  • General Practice Dentistry
  • McChord Afb, WA
National Provider Identifier
1609863059
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
62D Medical Group/Sgod
690 Barnes Street
McChord Afb, WA 98438-1303
Phone
(360) 438-2804
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

62D Medical Group/Sgod
690 Barnes Street
McChord Afb, WA 98438-1303

Mailing address

6441 Turnberry LN SE
Olympia, WA 98501-9114
Phone (360) 438-2804

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

State licenses

LicenseStateTypeSpecialty
019-017780ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609863059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 TURNBERRY LN SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019114",
            "telephone_number": "360-438-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62D MEDICAL GROUP/SGOD",
            "address_2": "690 BARNES STREET",
            "city": "MCCHORD AFB",
            "state": "WA",
            "postal_code": "984381303",
            "telephone_number": "360-438-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJELMELAND",
        "first_name": "ERIK",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McChord Afb, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.