Individual provider Active NPI

Mark Cheslik, DPD

  • Denturist
  • Everett, WA
National Provider Identifier
1013018027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN 00000342 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5043450OtherWADSHS 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

LicenseStateTypeSpecialty
DN 00000342WAMDDenturist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.