Individual provider Active NPI

Ina Apanasevich, DENTURIST

  • Denturist
  • Puyallup, WA
National Provider Identifier
1841644119
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN 60543708 Issued in WA
Practice address
9205 150TH Street CT E
Puyallup, WA 98375-6963
Phone
(253) 314-1288
NPI assigned
Apr 22, 2016
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DN 60543708 WA Primary

Addresses

Primary practice location

9205 150TH Street CT E
Puyallup, WA 98375-6963

Mailing address

9205 150TH Street CT E
Puyallup, WA 98375-6963
Phone (253) 314-1288

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

LicenseStateTypeSpecialty
DN 60543708WAMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1841644119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 150TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756963",
            "telephone_number": "253-314-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 150TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756963",
            "telephone_number": "253-314-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APANASEVICH",
        "first_name": "INA",
        "credential": "DENTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN 60543708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.