Lyudmila E Shur, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010297 Issued in WA

Practice address

16108 Ash Way
Suite 202
Lynnwood, WA 98087-8779

Phone

(425) 741-2030

Fax

(425) 741-2026

NPI assigned

Oct 12, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dong Wu Han PLLC

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1619706504
  NPD (past)
• Dr. Shur Dental

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1215447677
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043300197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16108 ASH WAY",
            "address_2": "SUITE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878779",
            "telephone_number": "425-741-2030",
            "fax_number": "425-741-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16108 ASH WAY",
            "address_2": "SUITE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878779",
            "telephone_number": "425-741-2030",
            "fax_number": "425-741-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUR",
        "first_name": "LYUDMILA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E. Shook, M.D.
• Krysta Lee Shove, L.M.P.
• Ellen T Shuler, MA,LMHC
• John W Shumaker, DDS
• Alexandra Shuman
• Nishat Siddiqui
• Manrita Kaur Sidhu, M.D.
• Prabhjot S Sidhu, DDS
• Lisa M.B. Sieberson, DNP
• Christy Renee Siemons, M.A.

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

• 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.