Individual provider Active NPI

Edward Richard Zbaraschuk, DDS

  • General Practice Dentistry
  • Sequim, WA
National Provider Identifier
1174674402
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006446 Issued in WA
Practice address
645 N 5TH Ave
Sequim, WA 98382-3001
Phone
(360) 683-3626
Fax
(360) 683-2384
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00006446 WA
General Practice Dentistry 1223G0001X DE00006446 WA Primary

Addresses

Primary practice location

645 N 5TH Ave
Sequim, WA 98382-3001

Mailing address

645 N 5TH Ave
Sequim, WA 98382-3001
Phone (360) 683-3626

Other practice location 1

228 W 1st St Ste L
Port Angeles, WA 98362-2640
Phone (360) 406-5260

Other identifiers 1

IdentifierTypeStateIssuer
2046207MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20151008002681 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193033223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00006446WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 Accepting new patients
Zbaraschuhk Dental Care Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ezbaraschuk452924@direct.multicare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1174674402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823001",
            "telephone_number": "360-683-3626",
            "fax_number": "360-683-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823001",
            "telephone_number": "360-683-3626",
            "fax_number": "360-683-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 W 1st St Ste L",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983622640",
            "country_code": "US",
            "telephone_number": "360-406-5260",
            "fax_number": "360-406-5275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZBARASCHUK",
        "first_name": "EDWARD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006446",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046207",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.