Everett Denture Center PLLC

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000342 Issued in WA

Legal business name

EVERETT DENTURE CENTER PLLC

Practice address

4367 Rucker Ave
Everett, WA 98203-2213

Phone

(425) 259-2800

Fax

(425) 259-2800

NPI assigned

Apr 21, 2010

Organization subpart

No

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

Authorized official

Name

Mark CheslikNPI 1013018027

Title

Owner

Phone

(425) 259-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Cheslik, DPD

  • Denturist
  • Everett, WA
  • NPI 1013018027
  NPD (past) Authorized official

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1174840896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032213",
            "telephone_number": "425-259-2800",
            "fax_number": "425-259-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032213",
            "telephone_number": "425-259-2800",
            "fax_number": "425-259-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT DENTURE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "CHESLIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-259-2800"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5049812",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Everett Cardiology & Electrophysiology, P.S.
• Everett Cardiovascular and Thoracic Surgical Associates
• Everett E N T PS Inc
• Everett Foot Clinic PLLC
• Everett Heritage Court
• Everett Mall Way Dental Group
• Everett Manor, LLC

• Denturist in Everett, WA
• Providers in Everett, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.