NPIMap

Organization Active NPI

Yashchuk Dental, P.C.

  • Dental Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1053072587
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YASHCHUK DENTAL, P.C.
Practice address
2161 Ygnacio Valley Rd Ste 101
Walnut Creek, CA 94598-3342
Phone
(925) 705-7093
Fax
(925) 952-7050
NPI assigned
Jan 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Tatyana Lvovna Yashchuk, DDSNPI 1689891228
Title
Chief Dentist/Owner
Phone
(510) 230-7270

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2161 Ygnacio Valley Rd Ste 101
Walnut Creek, CA 94598-3342

Mailing address

2161 Ygnacio Valley Rd Ste 101
Walnut Creek, CA 94598-3342
Phone (925) 705-7093

Other names 1

  • Golden State Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2161 Ygnacio Valley Rd
Ste 101
Walnut Creek, CA 94598
Phone (925) 705-7093

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1053072587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983342",
            "telephone_number": "925-705-7093",
            "fax_number": "925-952-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983342",
            "telephone_number": "925-705-7093",
            "fax_number": "925-952-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASHCHUK DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "YASHCHUK",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_middle_name": "LVOVNA",
        "authorized_official_title_or_position": "CHIEF DENTIST/OWNER",
        "authorized_official_telephone_number": "510-230-7270",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.