Organization Active NPI

Dr Galina Borodyansky PLLC

  • Dentist
  • Bellevue, WA
National Provider Identifier
1639622095
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9423 Issued in WA
Legal business name
DR GALINA BORODYANSKY PLLC
Doing business as
Bel-Mod Dental
Practice address
14535 Bel Red Rd Ste 101B
Bellevue, WA 98007-3907
Phone
(425) 644-8787
Fax
(425) 641-8203
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Dr. Galina Borodyansky, DDSNPI 1023156494
Title
Owner
Phone
(425) 644-8787

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9423 WA Primary

Addresses

Primary practice location

14535 Bel Red Rd Ste 101B
Bellevue, WA 98007-3907

Mailing address

14535 Bel Red Rd Ste 101B
Bellevue, WA 98007-3907
Phone (425) 644-8787

Other names 1

  • Bel-Mod Dental Doing business as

National Provider Directory

National Provider Directory

Locations

14535 NE Bel Red Rd
Ste 101B
Bellevue, WA 98007
Phone (425) 300-1239

Practitioners & affiliated clinicians

Practitioners 2

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": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1639622095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 BEL RED RD STE 101B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073907",
            "telephone_number": "425-644-8787",
            "fax_number": "425-641-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 BEL RED RD STE 101B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073907",
            "telephone_number": "425-644-8787",
            "fax_number": "425-641-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GALINA BORODYANSKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "BORODYANSKY",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-644-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "9423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bel-Mod Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.