NPIMap

Organization Active NPI

Rolf M. Edlund, DDS, PS

  • Dentist
  • Sumner, WA
National Provider Identifier
1942390083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4335 Issued in WA
Legal business name
ROLF M. EDLUND, DDS, PS
Practice address
1006 Fryar Ave
Suite C
Sumner, WA 98390-1501
Phone
(253) 863-0444
Fax
(253) 863-1936
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rolf Melker Edlund, DDSNPI 1003814781
Title
Dentist
Phone
(253) 863-0444

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4335 WA Primary

Addresses

Primary practice location

1006 Fryar Ave
Suite C
Sumner, WA 98390-1501

Mailing address

1006 Fryar Ave
Suite C
Sumner, WA 98390
Phone (253) 863-0444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942390083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 FRYAR AVE",
            "address_2": "SUITE C",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "98390",
            "telephone_number": "253-863-0444",
            "fax_number": "253-863-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 FRYAR AVE",
            "address_2": "SUITE C",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901501",
            "telephone_number": "253-863-0444",
            "fax_number": "253-863-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLF M. EDLUND, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDLUND",
        "authorized_official_first_name": "ROLF",
        "authorized_official_middle_name": "MELKER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-863-0444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.