NPIMap

Organization Active NPI

Zbaraschuhk Dental Care

  • Dentist
  • Sequim, WA
National Provider Identifier
1215332937
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 00006446 Issued in WA
Legal business name
ZBARASCHUHK DENTAL CARE
Practice address
645 N 5TH Ave
Sequim, WA 98382-3001
Phone
(360) 683-3626
Fax
(260) 683-2384
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
E Richard Zbaraschuk, D.D.S.
Title
Owner/Dentist
Phone
(360) 683-3626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE 00006446 WA Primary
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X DH 00007840 WA

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1215332937",
    "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": "260-683-2384"
        },
        {
            "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": "260-683-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZBARASCHUHK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "ZBARASCHUK",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "360-683-3626",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 00006446",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH 00007840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.