Andrey Busev, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61445286 Issued in WA

Practice address

3624 Colby Ave
Everett, WA 98201-4776

Phone

(425) 258-2834

NPI assigned

Jul 10, 2023

Sex

Male

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

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.

• Jeffrey J Tufarolo DDS PS

  • Dental Clinic/Center
  • Everett, WA
  • NPI 1033364427
  NPD (past)
• Sumit K. Makker DDS, PLLC

  • Dental Clinic/Center
  • Everett, WA
  • NPI 1447827886
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1356029128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 147TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876055",
            "telephone_number": "425-480-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014776",
            "telephone_number": "425-258-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSEV",
        "first_name": "ANDREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61445286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Burton
• James Paul Burton, D.C.
• Pollyanna Burton, MSN, APRN, FNP-BC
• Rebekah Irene Burton
• Cynthia Kisakye Busagwa
• Yuriy Busev, LMP
• Bridget Springgate Bush, M.D.
• Sarah Nicole Buterbaugh, PHARMD
• Kathleen Mary Butler
• Michelle Butler

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.