Organization Active NPI

Yevgeny Rudashevsky, D.D.S.,Inc

  • Dental Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1851538698
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
B40720 Issued in CA
Legal business name
YEVGENY RUDASHEVSKY, D.D.S.,INC
Practice address
1567 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087-4571
Phone
(408) 774-1511
Fax
(408) 774-0189
NPI assigned
Jan 15, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. Yevgeny G Rudashevsky, DDS
Title
Dentist
Phone
(408) 774-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X B40720 CA Primary

Addresses

Primary practice location

1567 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087-4571

Mailing address

1567 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087-4571
Phone (408) 774-1511

National Provider Directory

National Provider Directory

Locations

1567 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087
Phone (408) 774-1511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1851538698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 SUNNYVALE SARATOGA RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874571",
            "telephone_number": "408-774-1511",
            "fax_number": "408-774-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 SUNNYVALE SARATOGA RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874571",
            "telephone_number": "408-774-1511",
            "fax_number": "408-774-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGENY RUDASHEVSKY, D.D.S.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "RUDASHEVSKY",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-774-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "B40720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.