Irina Shumskiy, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H4847 Issued in OR

Practice address

11050 SE Powell Blvd
Suite 378
Portland, OR 97266-1863

Phone

(503) 788-0405

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Powell Family Dental

  • General Practice Dentistry
  • Portland, OR
  • NPI 1023339199
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1497906317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 SE POWELL BLVD",
            "address_2": "SUITE 378",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661863",
            "telephone_number": "503-788-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 SE POWELL BLVD",
            "address_2": "SUITE 378",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661863",
            "telephone_number": "503-788-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMSKIY",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H4847",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH 22690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Shuman, RN
• Zachary Adam Shuman, R.N.
• Anna Morgan Shumate
• Donald Byron Shumate, RN
• Sarah Joan Shumborski, MBBS
• Tammy Shumway, RN
• Tamar Shur
• Ryan Homer Shurtz, DDS, MS
• Jessica L Shuster, MD
• David Shute, MD

• Dental Hygienist in Portland, OR
• Providers in Portland, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.