John T. Dykstra, D.D.S., P.L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4487 Issued in WA

Practice address

520 N Olympic Ave
Arlington, WA 98223-1247

Phone

(360) 435-4043

Fax

(360) 435-2344

NPI assigned

Aug 25, 2006

Last updated

Dec 13, 2016By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gennadiy Kalvish DDS PLLC

  • General Practice Dentistry
  • Arlington, WA
  • NPI 1841148129
  NPD (past)
• Pavneet Momi & Rapinder Momi DDS, PLLC

  dba Arlington Dental Clinic

  • Dental Clinic/Center
  • Arlington, WA
  • NPI 1548995558
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1477661999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N OLYMPIC AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231247",
            "telephone_number": "360-435-4043",
            "fax_number": "360-435-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N OLYMPIC AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231247",
            "telephone_number": "360-435-4043",
            "fax_number": "360-435-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "JOHN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.L.L.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007497",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Anne Dunlap, RN
• David A Dunnington, M.D.
• Bryce Kelly Duskin, D,D,S
• Celia Duty
• DW Han DMD PLLC. (Arlington Family Dentistry)
• Jessie Jiyeon Dziduch, FNP-C
• Eagle Family Dental Center
• Eberhardt Vision Center, Inc (Arlington Vision Center)
• Jennifer Wendt Edwards, MA,LMHC
• Sarah Eickhoff

• General Practice Dentistry in Arlington, WA
• Providers in Arlington, 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 Dec 13, 2016; 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.