Active NPI
Ruslan Galushkin
- Denturist
- Everett, WA
National Provider Identifier
1245795525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN60869847
- Practice address
- 1111 Pacific Ave Ste a
Everett, WA 98201-4200 - Phone
- (425) 629-0003
- NPI assigned
- Jan 31, 2019
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DT-DO-10243833 | OR | |
| Denturist | 122400000X | DN60869847 | WA | Primary |
Addresses
Primary practice location
1111 Pacific Ave Ste a
Everett, WA 98201-4200
Mailing address
49 NW 1St St Ste 4
Ontario, OR 97914-2468
Phone (425) 435-7473
Other practice location 1
49 NW 1st St Ste 4
Ontario, OR 97914
Phone (541) 216-6261
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT-DO-10243833 | OR | MD | Denturist |
| DN60869847 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everpeak Dentures LLC | Denturist | Current | Accepting new patients |
| Alpine Denture Center LLC | Denturist | Current | Accepting new patients |
| Alpine Denture Center - Everett LLC | Denturist | Current | Accepting new patients |
Locations
49 NW 1st St
Ste 4
Ontario, OR 97914
Phone (541) 216-6261
1111 Pacific Ave
Ste A
Everett, WA 98201
Phone (425) 258-9586
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Denturist
- Everett, WA
- NPI 1629960216
-
- Denturist
- Des Moines, WA
- NPI 1184553950
-
- Denturist
- Ontario, OR
- NPI 1376364844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1245795525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 NW 1ST ST STE 4",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142468",
"telephone_number": "425-435-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 PACIFIC AVE STE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014200",
"telephone_number": "425-629-0003"
}
],
"practiceLocations": [
{
"address_1": "49 NW 1st St Ste 4",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OR",
"postal_code": "97914",
"country_code": "US",
"telephone_number": "541-216-6261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALUSHKIN",
"first_name": "RUSLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-31",
"last_updated": "2026-09-29",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DT-DO-10243833",
"primary": false
},
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN60869847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.