Aleksandr Lyashenko, D.D.S., B.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10146 Issued in OR

Practice address

6950 NE Campus Way
Hillsboro, OR 97124-5611

Phone

(503) 952-2125

NPI assigned

Dec 26, 2014

Sex

Male

Sole proprietor

Yes

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 OR

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1083002190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245611",
            "telephone_number": "503-952-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245611",
            "telephone_number": "503-952-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYASHENKO",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "D.D.S., B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-26",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Lusk, RDH, EPDH
• Robert Charles Lusk, MD
• Victoria Lutskovsky, ND
• Benjamin Luu
• Luxottica of America Inc.
• Catherine Lydon, BSN, RN
• Melissa Lymburner
• Brandon J Lynch, MD
• Jessica Ann Lynch, O.D.
• M&M Chiropractic LLC

• General Practice Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.