Aleksandr Yanchuk, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D11840 Issued in OR

Practice address

645 9TH St NW Ste 110
Salem, OR 97304-3299

Phone

(971) 900-5599

NPI assigned

Jul 6, 2023

Last updated

Jul 6, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Aleksandr Yanchuk DMD LLC

  dba Summercrest Dental

  • Dental Clinic/Center
  • Beaverton, OR
  • NPI 1811880271
  NPD Authorized official

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1780362012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12057 SW LAUSANNE ST",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707381",
            "telephone_number": "503-875-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 9TH ST NW STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043299",
            "telephone_number": "971-900-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCHUK",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yakima Valley Farm Workers Clinic (Lancaster Family Health Center at Lancaster)
• Yakima Valley Farm Workers Clinic (Lancaster Family Health Center)
• Eugene Yukio Yamaguchi, MD
• Takashi Yamamoto, L.AC.
• Leann Yamanaka, NP-PMHNP
• Jocelyne Yanez
• Jooim Yang, OTD, OTR/L
• Pafoua Yang
• Yarrow Wellness Counseling Center, LLC
• Corey J Yates, ATC

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.