Active NPI
William Backlund MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Redmond, WA
National Provider Identifier
1760853550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD00011230
- Legal business name
- WILLIAM BACKLUND MD
- Practice address
- 23736 NE 116TH PL
Redmond, WA 98053-5611 - Phone
- (425) 406-6717
- NPI assigned
- Oct 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Backlund
- Title
- Owner
- Phone
- (425) 406-6717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD00011230 | WA | Primary |
Addresses
Primary practice location
23736 NE 116TH PL
Redmond, WA 98053-5611
Mailing address
23736 NE 116TH PL
Redmond, WA 98053-5611
Phone (425) 406-6717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039502 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1760853550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23736 NE 116TH PL",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535611",
"telephone_number": "425-406-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23736 NE 116TH PL",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535611",
"telephone_number": "425-406-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM BACKLUND MD",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "BACKLUND",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-406-6717"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "WA",
"license": "MD00011230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1039502",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.