Individual provider Active NPI

Elena Yashchuk, DDS

  • General Practice Dentistry
  • Walnut Creek, CA
National Provider Identifier
1275102246
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106281 Issued in CA
Practice address
2161 Ygnacio Valley Rd Ste 101
Walnut Creek, CA 94598-3342
Phone
(925) 705-7093
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 106281 CA
General Practice Dentistry 1223G0001X 106281 CA Primary

Addresses

Primary practice location

2161 Ygnacio Valley Rd Ste 101
Walnut Creek, CA 94598-3342

Mailing address

1365 Mt Pisgah Rd Apt 17
Walnut Creek, CA 94596-4843
Phone (510) 426-3260

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yashchuk Dental, P.C. General Practice CurrentSince Jan 17, 2022 Accepting new patients
Tatyana Yashchuk PastSince Jun 27, 2021 Accepting new patients

Locations

2161 Ygnacio Valley Rd
Ste 101
Walnut Creek, CA 94598
Phone (925) 705-7093

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1275102246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 MT PISGAH RD APT 17",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964843",
            "telephone_number": "510-426-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983342",
            "telephone_number": "925-705-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASHCHUK",
        "first_name": "ELENA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "106281",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.