Viktoriya A. Ishchuk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14531 Issued in MN

Practice address

10611 France Ave S Ste 200
Bloomington, MN 55431-3554

Phone

(952) 888-4125

NPI assigned

May 10, 2020

Sex

Female

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

Locations

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.

• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1598413916
  NPD

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1811519192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 FRANCE AVE S STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313554",
            "telephone_number": "952-888-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 FRANCE AVE S STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313554",
            "telephone_number": "952-888-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHCHUK",
        "first_name": "VIKTORIYA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaacson Dental Center PLLC
• Dana John Isaacson, D.D.S.
• Timothy John Isaacson, D.D.S.
• Isaiah Residential Care Services LLC
• Dorothee M Ischler, DMFT, LMFT
• Naseeb Mohammed Ismaiel
• Ismail Omar Ismail
• Jaabir Ahmed Ismail
• Sadiyo Mohamed Ismail
• Yassin Mohamud Issa

• General Practice Dentistry in Bloomington, MN
• Providers in Bloomington, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.