Donald Thomas Schrack, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60752170 Issued in WA

Practice address

2100 S 14TH St
Union Gap, WA 98903-1252

Phone

(402) 661-9764

NPI assigned

Aug 28, 2016

Last updated

Jan 14, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Donald T. Schrack, DDS., PLLC.

  • Dental Clinic/Center
  • Lynnwood, WA
  • NPI 1386391241
  NPD Authorized official
• Derek Thompson DMD Patrick Ferguson DDS

  dba Apple Valley Dental and Orthodontics

  • Dentist
  • Union Gap, WA
  • NPI 1376764233
  NPD (past)
• Derek Thompson DMD Patrick Ferguson DDS PLLC

  dba Yakima Family Dental

  • Oral and Maxillofacial Surgery (Dentist)
  • Union Gap, WA
  • NPI 1740618925
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1164978326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 NACHES HEIGHTS RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989088657",
            "telephone_number": "402-661-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S 14TH ST",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031252",
            "telephone_number": "402-661-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRACK",
        "first_name": "DONALD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000010286",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60752170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Rood, DNP, FNP-BC
• Ryan Coyle OD PS (Coyle Vision)
• Maria Salazar
• Kimberly G Sales, ARNP
• Alicia Sanchez
• Ronald Spencer Senn, DDS
• Justin Sang Seo, PHARMD
• SHC Medical Center Toppenish (Astria Health Center)
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 073)
• Shopko Stores Operating Co. LLC (ShopKo Optical 073)

• Dentist in Union Gap, WA
• Providers in Union Gap, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.