Organization Active NPI

William Backlund MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Redmond, WA
National Provider Identifier
1760853550
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD00011230 Issued in WA
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

Updated by the provider on Oct 19, 2015

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)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1039502MedicaidWA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.