Anna Vitalyevna Beers, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61185201 Issued in WA

Practice address

12138 Mukilteo Speedway Unit 301
Mukilteo, WA 98275-5738

Phone

(425) 347-4141

NPI assigned

Aug 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Vitalyevna Kolpakova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1558036947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 177TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127473",
            "telephone_number": "503-539-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12138 MUKILTEO SPEEDWAY UNIT 301",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755738",
            "telephone_number": "425-347-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERS",
        "first_name": "ANNA",
        "middle_name": "VITALYEVNA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61185201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KOLPAKOVA",
            "middle_name": "VITALYEVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Mark Beard, MD
• Christine Beasley, DC
• Gregory W Beasley, DC
• Megan Alysa Beaumont, MD
• Megan Beckel
• Belay Psychiatric PLLC
• Frederick Charles Bellin, BACHELORS
• Kathryn Elaine Benefiel, LICSW
• Alexandra Bermudez
• Best Medical Supply Inc.

• General Practice Dentistry in Mukilteo, WA
• Providers in Mukilteo, 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 Aug 9, 2021; 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.