Active NPI
Ekaterina Malinovska, D.D.S.
- Dentist
- Shoreline, WA
National Provider Identifier
1912328758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60421620
- Practice address
- 1359 N 205TH St Ste a
Bright 32 Family Dentistry
Shoreline, WA 98133-3215 - Phone
- (206) 533-9693
- Fax
- (206) 533-9691
- NPI assigned
- Dec 20, 2013
- Last updated
- Dec 20, 2013
- Sex
- Female
- Sole proprietor
- No
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 | DE60421620 | WA | Primary |
Addresses
Primary practice location
1359 N 205TH St Ste a
Bright 32 Family Dentistry
Shoreline, WA 98133-3215
Mailing address
1359 N 205TH St Ste a
Bright 32 Family Dentistry
Shoreline, WA 98133-3215
Phone (206) 533-9693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160825000966 | WA | Order and Referring Only - Dentist | 4486949740 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Brenner DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1912328758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 N 205TH ST STE A",
"address_2": "BRIGHT 32 FAMILY DENTISTRY",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981333215",
"telephone_number": "206-533-9693",
"fax_number": "206-533-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 N 205TH ST STE A",
"address_2": "BRIGHT 32 FAMILY DENTISTRY",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981333215",
"telephone_number": "206-533-9693",
"fax_number": "206-533-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALINOVSKA",
"first_name": "EKATERINA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60421620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.