David Myaskovsky, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE00007078 Issued in WA

Practice address

1908 201St PL SE Apt 200
Bothell, WA 98012-8572

Phone

(425) 488-2345

Fax

(425) 489-4082

NPI assigned

Apr 25, 2007

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DMG Dental Design LLC

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1508246927
  NPD (past) Authorized official
• Edward Im DDS PS

  dba Sunrise Dental Specialist

  • Dentist
  • Bellevue, WA
  • NPI 1962933150
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1154541084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 201ST PL SE APT 200",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128572",
            "telephone_number": "425-488-2345",
            "fax_number": "425-489-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 201ST PL SE APT 200",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128572",
            "telephone_number": "425-488-2345",
            "fax_number": "425-489-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYASKOVSKY",
        "first_name": "DAVID",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00007078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murray a Beighton (Twilight Years Geriatric Care)
• Luanne Mignon Murro-Te, LPN
• Syed Jamal Mustafa, M.D.
• Syed Kamal Mustafa, M.D.
• Aaron Mustain
• Andrea S Myers
• Blake M Myers, ND
• Kimberly Kay Myers
• Nagatomo DDS PHD PLLC
• Sujatha Naik, LMP

• Endodontics in Bothell, WA
• Providers in Bothell, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.