Individual provider Active NPI

John Unsicker, LD

  • Denturist
  • Auburn, WA
National Provider Identifier
1669796538
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Practice address
1251 Auburn Way N
Auburn, WA 98002-4148
Phone
(253) 300-1860
Fax
(833) 200-5256
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X Primary

Addresses

Primary practice location

1251 Auburn Way N
Auburn, WA 98002-4148

Mailing address

9597 Central Ave
Montclair, CA 91763-2424
Phone (833) 900-1050

Other practice location 1

1242 State Ave Ste G
Marysville, WA 98270-3672
Phone (425) 426-2305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Smile Store, LLC Denturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1669796538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9597 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632424",
            "telephone_number": "833-900-1050",
            "fax_number": "833-200-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024148",
            "telephone_number": "253-300-1860",
            "fax_number": "833-200-5256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1242 State Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982703672",
            "country_code": "US",
            "telephone_number": "425-426-2305",
            "fax_number": "833-200-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNSICKER",
        "first_name": "JOHN",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.