Elsa Karin Nordahl, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DE 60103959 Issued in WA

Practice address

9300 NE Vancouver Mall Dr
Suite 100
Vancouver, WA 98662-8201

Phone

(360) 253-6375

Fax

(360) 253-6437

NPI assigned

Sep 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Dentistry

  • Dentist
  • Vancouver, WA
  • NPI 1326463506
  NPD (past)
• Jagjit Bhui

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1386961324
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1992038343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21302 NE 29TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429584",
            "telephone_number": "360-607-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628201",
            "telephone_number": "360-253-6375",
            "fax_number": "360-253-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDAHL",
        "first_name": "ELSA",
        "middle_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60103959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Michelle Noonan-Underwood, EFDA
• Sandra O Noonan, RN
• S. Amy Nopachai, M.D.
• Kesang Yangchen Norbhu
• Norco, Inc
• Tiffiney Corice Nordby, LMP
• Robin Nordlum, LDO
• Craig M Nordmeier, PA-C
• Nordstrom Achatz Dental, LLC
• Eric Mikkonen Nordstrom, M.D.

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.