NPIMap

Organization Active NPI

Dennis P. Nordlund, DDS

  • Dentist
  • Tukwila, WA
National Provider Identifier
1871049593
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00004782 Issued in WA
Legal business name
DENNIS P. NORDLUND, DDS
Practice address
6720 Fort Dent Way
Suite 200
Tukwila, WA 98188-2580
Phone
(206) 439-0403
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Elizabeth A Nordlund
Title
Bookkeeper
Phone
(206) 439-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00004782 WA Primary

Addresses

Primary practice location

6720 Fort Dent Way
Suite 200
Tukwila, WA 98188-2580

Mailing address

6720 Fort Dent Way
Suite 200
Tukwila, WA 98188-2580
Phone (206) 439-0403

National Provider Directory

National Provider Directory

Locations

6720 Fort Dent Way
Ste 200
Tukwila, WA 98188
Phone (206) 439-0403

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1871049593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY",
            "address_2": "SUITE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-439-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY",
            "address_2": "SUITE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-439-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS P. NORDLUND, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "NORDLUND",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "206-439-0403"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00004782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.