Yelena Chuvashova, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60771035 Issued in WA

Practice address

240 NW Gilman Blvd Ste 7
Issaquah, WA 98027-2418

Phone

(425) 269-9112

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Birch Dentistry (Yelena Chuvashova DDS PLLC)

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1679418867
  NPD Authorized official
• Dara Kim, DDS, PLLC

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1013649110
  NPD (past)
• Winston Lo DDS, PLLC

  • Dentist
  • Bellevue, WA
  • NPI 1356086789
  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1205348299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 216TH AVE SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759526",
            "telephone_number": "425-269-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NW GILMAN BLVD STE 7",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272418",
            "telephone_number": "425-269-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4935 Lakemont Blvd SE Ste B3",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980067800",
            "country_code": "US",
            "telephone_number": "425-746-2101",
            "fax_number": "425-746-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUVASHOVA",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60771035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian P Manley
• Christina Schiller OD PLLC
• Yajing Chu, PHARMD
• Audrey Jean Church, ARNP
• Artem Chuvashov, DDS
• Caroline Ciesko
• Nicole Citragno
• Elaine M Clark, MPT
• Scott Clayhold, DMD, MDS
• Tiffany Dawn Cloud, OT

• Dentist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.