Individual provider Active NPI

Amy Linda Varshock, LD, DPD

  • Denturist
  • Silverdale, WA
National Provider Identifier
1205075785
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN00000471 Issued in WA
Practice address
3100 NW Bucklin Hill Rd Ste 104
Silverdale, WA 98383-8359
Phone
(360) 434-4429
Fax
(360) 339-6538
NPI assigned
Feb 6, 2009
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DN34 AZ
Denturist 122400000X DN00000471 WA Primary

Addresses

Primary practice location

3100 NW Bucklin Hill Rd Ste 104
Silverdale, WA 98383-8359

Mailing address

3100 NW Bucklin Hill Rd Ste 104
Silverdale, WA 98383-8359
Phone (360) 420-4525

Other practice location 1

1524 Riverside Dr Ste B1
Mount Vernon, WA 98273-2457
Phone (360) 339-6538

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
DN34AZMDDenturist
DN00000471WAMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1205075785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 104",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838359",
            "telephone_number": "360-420-4525",
            "fax_number": "360-420-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 104",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838359",
            "telephone_number": "360-434-4429",
            "fax_number": "360-339-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Riverside Dr Ste B1",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982732457",
            "country_code": "US",
            "telephone_number": "360-339-6538",
            "fax_number": "360-339-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARSHOCK",
        "first_name": "AMY",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "LD, DPD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "AZ",
            "license": "DN34",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.