Organization Active NPI

Dr. William G. Dedge, DC, Inc., PS

  • Clinic/Center
  • Auburn, WA
National Provider Identifier
1801041876
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR. WILLIAM G. DEDGE, DC, INC., PS
Practice address
721 M St NE
Ste 105
Auburn, WA 98002-4503
Phone
(253) 939-9599
Fax
(253) 804-5655
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. William George Dedge, DCNPI 1982752275
Title
Owner/Doctor
Phone
(253) 939-9599

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

721 M St NE
Ste 105
Auburn, WA 98002-4503

Mailing address

721 M St NE
Ste 105
Auburn, WA 98002-4503
Phone (253) 939-9599

National Provider Directory

National Provider Directory

Locations

721 M St NE
Ste 105
Auburn, WA 98002
Phone (253) 766-1161

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": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1801041876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 M ST NE",
            "address_2": "STE 105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024503",
            "telephone_number": "253-939-9599",
            "fax_number": "253-804-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 M ST NE",
            "address_2": "STE 105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024503",
            "telephone_number": "253-939-9599",
            "fax_number": "253-804-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIAM G. DEDGE, DC, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "DEDGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "253-939-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.