Active NPI
Aleksandr Yanchuk, DMD
- Dentist
- Salem, OR
National Provider Identifier
1780362012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11840
- Practice address
- 645 9TH St NW Ste 110
Salem, OR 97304-3299 - Phone
- (971) 900-5599
- NPI assigned
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11840 | OR | Primary |
Addresses
Primary practice location
645 9TH St NW Ste 110
Salem, OR 97304-3299
Mailing address
12057 SW Lausanne St
Wilsonville, OR 97070-7381
Phone (503) 875-3426
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11840 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aleksandr Yanchuk DMD LLC | Current | 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.
-
- Dental Clinic/Center
- Beaverton, OR
- NPI 1811880271
NPI Registry JSON
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": []
}Other providers in Salem, OR
Sources for this page
- 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.