Lyudmila Ignatyev, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE 00010387 Issued in WA

Practice address

15710 NE 24TH St
Suite a
Bellevue, WA 98008-2444

Phone

(425) 865-0411

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1760756837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 110TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114808",
            "telephone_number": "425-233-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15710 NE 24TH ST",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082444",
            "telephone_number": "425-865-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNATYEV",
        "first_name": "LYUDMILA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 00010387",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bellevue, WA
• Providers in Bellevue, WA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.