Organization Active NPI

William C. Edell DDS

  • Dentist
  • Sherwood, OR
National Provider Identifier
1871902619
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8159 Issued in OR
Legal business name
WILLIAM C. EDELL DDS
Practice address
25575 Labrousse Rd
Sherwood, OR 97140-9999
Phone
(503) 344-4565
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
William C Edell, DDS
Title
Owner
Phone
(503) 344-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D8159 OR Primary

Addresses

Primary practice location

25575 Labrousse Rd
Sherwood, OR 97140-9999

Mailing address

25575 Labrousse Rd
Sherwood, OR 97140-9999
Phone (503) 344-4565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1871902619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25575 LABROUSSE RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409999",
            "telephone_number": "503-344-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25575 LABROUSSE RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409999",
            "telephone_number": "503-344-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. EDELL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "EDELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-344-4565",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.