NPIMap

Organization Active NPI

Burakovskiy DPM PC

Doing business as Integrative Foot and Ankle Centers of Washington

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
National Provider Identifier
1881777266
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000808 Issued in WA
Legal business name
BURAKOVSKIY DPM PC
Doing business as
Integrative Foot and Ankle Centers of Washington
Practice address
13030 121St Way NE Ste 204
Kirkland, WA 98034-3008
Phone
(425) 822-7426
Fax
(425) 827-1717
NPI assigned
Oct 23, 2006
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Mr. Mikhail Burakovskiy, DPMNPI 1902895881
Title
Owner/Provider
Phone
(425) 822-7426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 00000808 WA
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000808 WA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO60255094 WA
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

13030 121St Way NE Ste 204
Kirkland, WA 98034-3008

Mailing address

13030 121St Way NE
Suite 204
Kirkland, WA 98034
Phone (425) 822-7426

Other names 2

  • INTEGRATIVE FOOT AND ANKLE CENTERS OF WASHINGTON Doing business as
  • BURAKOVSKIY D P M PC Other name

National Provider Directory

National Provider Directory

Locations

1823 37th St
Ste A
Everett, WA 98201
Phone (425) 339-8888

30 Lakeshore Plz
Ste A
Kirkland, WA 98033
Phone (425) 822-7426

8980 161st Ave NE
Ste 320
Redmond, WA 98052
Phone (425) 823-4000

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

1207 N 200th St
Ste 102
Shoreline, WA 98133
Phone (206) 533-1570

Practitioners & affiliated clinicians

Practitioners 4

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1881777266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE",
            "address_2": "SUITE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-822-7426",
            "fax_number": "425-827-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE STE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343008",
            "telephone_number": "425-822-7426",
            "fax_number": "425-827-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURAKOVSKIY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "BURAKOVSKIY",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "425-822-7426",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO 00000808",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000808",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60255094",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATIVE FOOT AND ANKLE CENTERS OF WASHINGTON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BURAKOVSKIY D P M PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.