William Taras Kobylnyk, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010499 Issued in WA

Practice address

1250 S Burlington Blvd
Burlington, WA 98233-3316

Phone

(360) 755-5600

Fax

(360) 755-9384

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Mountain Smiles - Burlington Family Dental Care, PLLC

  • Dentist
  • Burlington, WA
  • NPI 1659129294
  NPD (past)
• Ojh Clinic No 5 Inc.-Burlington Family Dentistry

  • Dentist
  • Burlington, WA
  • NPI 1013091776
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629137633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CASCADE PL",
            "address_2": "#114",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333148",
            "telephone_number": "360-707-5670",
            "fax_number": "360-707-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333316",
            "telephone_number": "360-755-5600",
            "fax_number": "360-755-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBYLNYK",
        "first_name": "WILLIAM",
        "middle_name": "TARAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniko G Kiss
• Jason Ronald Kitzman, D.C.
• Tate Kathleen Klein
• Trevor M Knight, LMP, DLT
• Marshela Maree Knutson
• Varundeep Kohli, PT
• Kelsey Dawn Kok, BSW
• Kathleen Kollmar-Wadland, PAC
• Justin Kooistra
• Kotlerman Family Health LLC

• Dentist in Burlington, WA
• Providers in Burlington, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.