Greg Achtemichuk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008381 Issued in WA

Practice address

8004 Mukilteo Speedway
Suite 7
Mukilteo, WA 98275-2653

Phone

(425) 348-5445

Fax

(425) 355-7021

NPI assigned

Oct 23, 2006

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

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.

• Sound Family Dentistry Inc

  • General Practice Dentistry
  • Mukilteo, WA
  • NPI 1336220045
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457222400000",
    "number": "1780767533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1630",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "98275",
            "telephone_number": "425-348-5445",
            "fax_number": "425-355-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 MUKILTEO SPEEDWAY",
            "address_2": "SUITE 7",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752653",
            "telephone_number": "425-348-5445",
            "fax_number": "425-355-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHTEMICHUK",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A-Ok Delegation
• A&B Body Health LLC
• Aark Senior Home
• Aaron Van Wong DDS PLLC (Harbour Pointe Dentistry)
• Adapthealth West, LLC
• Camillia Lily Adelstein
• Michelle Galang Akigami, PHARM.D,
• Monte James Alton, D.C.
• Lawrence Rodney Amburgy, L.M.P

• General Practice Dentistry in Mukilteo, WA
• Providers in Mukilteo, 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 Mar 6, 2016; 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.