Oleksiy Motch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60983550 Issued in WA

Practice address

626 2ND Ave S
Okanogan, WA 98840-0521

Phone

(509) 476-4400

NPI assigned

Jul 31, 2019

Last updated

Feb 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Okanogan, WA
  • NPI 1609804392
  Medicare reassignment NPD
• Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Twisp, WA
  • NPI 1679962401
  NPD
• Family Health Centers

  • Dental Clinic/Center
  • Oroville, WA
  • NPI 1689972374
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1699329235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988401340",
            "telephone_number": "509-422-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 2ND AVE S",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988400521",
            "telephone_number": "509-476-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTCH",
        "first_name": "OLEKSIY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60983550",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60983550",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60983550",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "WA",
            "license": "DE60983550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609804392",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Kessell, LMP
• Jenell Lynn Kruse, LMP
• Wayne David Lawson, D.C.
• Kevin L Mallory, PA-C
• Clifton Lee Malm, D.C.
• Ashley Grace Nickell
• Okanogan County Community Action Council
• Okanogan County Juvenile Department
• Okanogan County Public Health (Public Health)
• Okanogan County Public Health

• General Practice Dentistry in Okanogan, WA
• Providers in Okanogan, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.