Organization Active NPI

Alpine Denture Center - Everett LLC

  • Denturist
  • Everett, WA
National Provider Identifier
1629960216
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
ALPINE DENTURE CENTER - EVERETT LLC
Practice address
1111 Pacific Ave Ste a
Everett, WA 98201-4200
Phone
(425) 595-4156
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Ruslan GalushkinNPI 1245795525
Title
Denturist
Phone
(425) 595-4156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X Primary

Addresses

Primary practice location

1111 Pacific Ave Ste a
Everett, WA 98201-4200

Mailing address

1111 Pacific Ave Ste a
Everett, WA 98201-4200
Phone (425) 595-4156

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1629960216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PACIFIC AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014200",
            "telephone_number": "425-595-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PACIFIC AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014200",
            "telephone_number": "425-595-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE DENTURE CENTER - EVERETT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "GALUSHKIN",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "425-595-4156"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.