Victor R Plavsky, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000296 Issued in WA

Practice address

24610 36TH Ave S
Kent, WA 98032-1520

Phone

(253) 941-5400

Fax

(866) 297-7419

NPI assigned

Mar 13, 2007

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619000247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980650058",
            "telephone_number": "253-941-5400",
            "fax_number": "866-297-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24610 36TH AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321520",
            "telephone_number": "253-941-5400",
            "fax_number": "866-297-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAVSKY",
        "first_name": "VICTOR",
        "middle_name": "R",
        "credential": "LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5038849",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Denturist in Kent, WA
• Providers in Kent, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.