Active NPI
Mark Cheslik, DPD
- Denturist
- Everett, WA
National Provider Identifier
1013018027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN 00000342
- Practice address
- 4367 Rucker Ave
Everett, WA 98203-2213 - Phone
- (425) 259-2800
- Fax
- (425) 259-2800
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DN 00000342 | WA | Primary |
Addresses
Primary practice location
4367 Rucker Ave
Everett, WA 98203-2213
Mailing address
8405 15TH PL NE
Everett, WA 98205-1485
Phone (425) 377-1664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5043450 | Other | WA | DSHS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 00000342 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everett Denture Center PLLC | Denturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Denturist
- Everett, WA
- NPI 1174840896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013018027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 15TH PL NE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982051485",
"telephone_number": "425-377-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4367 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032213",
"telephone_number": "425-259-2800",
"fax_number": "425-259-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESLIK",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "DPD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN 00000342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS PROVIDER NUMBER",
"identifier": "5043450",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.