Elysia Sybert, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE.61045280 Issued in WA

Practice address

2115 SE 192ND Ave Ste 106
Camas, WA 98607-7444

Phone

(360) 216-1130

NPI assigned

May 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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.

• Ronald H. Hsu, DDS, Ms, PLLC

  • Pediatric Dentistry
  • Camas, WA
  • NPI 1265984199
  NPD (past)

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1396123030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SE 192ND AVE STE 106",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077444",
            "telephone_number": "360-216-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE 192ND AVE STE 106",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077444",
            "telephone_number": "360-216-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYBERT",
        "first_name": "ELYSIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9245",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65090",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11196",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE.61045280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Stumpf, D.O.
• Summers Mental Health PLLC
• John Norman Summers, LMHC
• Amber N Suzara
• Monika Svaricek
• Synaptic Reflections, LLC
• Barbara Irene Syverson, LMT
• Aniko Szabo, LMP
• Timothy Noel Tanada, D.M.D.
• Bonnie Lee Taylor, LMP

• Pediatric Dentistry in Camas, WA
• Providers in Camas, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.