Valeriy Beliy DMD, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE 00008313 Issued in WA

Legal business name

VALERIY BELIY DMD, PLLC

Doing business as

Prodental Family Dentistry

Practice address

3005 Alderwood Mall Pkwy
Ste 200
Lynnwood, WA 98036-6920

Phone

(425) 673-8919

Fax

(425) 673-5674

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Valeriy Beliy, DMDNPI 1790855005

Title

Member

Phone

(425) 673-8919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRODENTAL FAMILY DENTISTRY Doing business as

Locations

Practitioners 1

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

• Valeriy Val Beliy, DMD

  • Dentist
  • Lynnwood, WA
  • NPI 1790855005
  NPD (past) Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1649589813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 ALDERWOOD MALL PKWY",
            "address_2": "STE 200",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366920",
            "telephone_number": "425-673-8919",
            "fax_number": "425-673-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 ALDERWOOD MALL PKWY",
            "address_2": "STE 200",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366920",
            "telephone_number": "425-673-8919",
            "fax_number": "425-673-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIY BELIY DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BELIY",
        "authorized_official_first_name": "VALERIY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-673-8919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 00008313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5033741",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRODENTAL FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kira Susan Vader, PA-C
• Vagabond Medicine PLLC
• Sharon Patricia Vaisberg, DO
• Artur Vajushi, LPN
• VI Valentine
• Carlos Vallejo
• Milton Lowell Van Hise, MD
• Anna Van Sickle, AGENCY COUNSELOR
• Anthony J Van Zeyl, MS, CCC-SLP
• Christine Anne Vande Vrede, OTR/L, CHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.