Individual provider Active NPI

Yanka Chalakova, DDS

  • General Practice Dentistry
  • Duvall, WA
National Provider Identifier
1104234848
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60480876 Issued in WA
Practice address
15119 279TH PL NE
Duvall, WA 98019-8195
Phone
(425) 301-3896
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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
DE 60480876WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Great Smile Dental Past Accepting new patients
Dick and Keira Yang, DMD PLLC PastSince Dec 12, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE 60480876 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

15119 279TH PL NE
Duvall, WA 98019-8195

Mailing address

15119 279TH PL NE
Duvall, WA 98019-8195

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2014.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1104234848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15119 279TH PL NE",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15119 279TH PL NE",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198195",
            "telephone_number": "425-301-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALAKOVA",
        "first_name": "YANKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60480876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duvall, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.