Individual provider Active NPI

Helen Alexandra Zagorodny, DMD

  • Dentist
  • Vancouver, WA
National Provider Identifier
1447035183
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61468669 Issued in WA
Practice address
14411 NE Fourth Plain Blvd Unit 134
Vancouver, WA 98682-5001
Phone
(360) 768-0936
NPI assigned
Aug 30, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11847 OR
Dentist 122300000X DE61468669 WA Primary

Addresses

Primary practice location

14411 NE Fourth Plain Blvd Unit 134
Vancouver, WA 98682-5001

Mailing address

10509 NE 123Rd PL
Vancouver, WA 98682-1856
Phone (360) 356-5575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201001540 WA Order and Referring Only - DentistPractitioner - Dentist 3779936125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11847ORMDDentist
DE61468669WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1447035183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10509 NE 123RD PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986821856",
            "telephone_number": "360-356-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 NE FOURTH PLAIN BLVD UNIT 134",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825001",
            "telephone_number": "360-768-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGORODNY",
        "first_name": "HELEN",
        "middle_name": "ALEXANDRA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11847",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61468669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.