Organization Active NPI

Eric Nordberg DDS MSD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Puyallup, WA
National Provider Identifier
1649119702
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ERIC NORDBERG DDS MSD PLLC
Practice address
11025 Canyon Rd E Ste C
Puyallup, WA 98373-4268
Phone
(253) 881-1896
Fax
(253) 446-7117
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Dr. Eric Nordberg, DDS MSDNPI 1851605448
Title
Doctor Owner
Phone
(213) 842-4699

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

11025 Canyon Rd E Ste C
Puyallup, WA 98373-4268

Mailing address

8102 66TH Avenue CT E
Puyallup, WA 98371-5593
Phone (253) 881-1896

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1649119702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 66TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715593",
            "telephone_number": "253-881-1896",
            "fax_number": "253-446-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 CANYON RD E STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734268",
            "telephone_number": "253-881-1896",
            "fax_number": "253-446-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC NORDBERG DDS MSD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "NORDBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "213-842-4699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.