Active NPI
Olga Petrovna Chernichenko, DDS
- Dentist
- Tukwila, WA
National Provider Identifier
1851078158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61445902
- Practice address
- 15668 W Valley Hwy
Tukwila, WA 98188-5534 - Phone
- (425) 430-9099
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | DE61445902 | WA | Primary |
Addresses
Primary practice location
15668 W Valley Hwy
Tukwila, WA 98188-5534
Mailing address
15668 W Valley Hwy
Tukwila, WA 98188-5534
Phone (425) 430-9099
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 |
|---|---|---|---|
| DE61445902 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K Hsue | Dentist | Past | Accepting new patients |
| S. H. Nguyen, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1851078158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15668 W VALLEY HWY",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981885534",
"telephone_number": "425-430-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15668 W VALLEY HWY",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981885534",
"telephone_number": "425-430-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNICHENKO",
"first_name": "OLGA",
"middle_name": "PETROVNA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61445902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.