Organization Active NPI

Ekaterina Malinovska DDS PLLC

  • General Practice Dentistry
  • Everett, WA
National Provider Identifier
1922545276
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EKATERINA MALINOVSKA DDS PLLC
Practice address
5920 Evergreen Way Suite E
Everett, WA 98203
Phone
(425) 355-2330
Fax
(425) 355-2336
NPI assigned
Jan 25, 2017
Organization subpart
Yes
Parent organization
CASCADE DENTAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Ekaterina Malinovska, DDS
Title
Owner
Phone
(425) 355-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X WA Primary

Addresses

Primary practice location

5920 Evergreen Way Suite E
Everett, WA 98203

Mailing address

5920 Evergreen Way Suite E
Everett, WA 98203
Phone (425) 355-2330

Other identifiers 1

IdentifierTypeStateIssuer
2067990MedicaidWA

Other names 1

  • Cascade Dental Group Doing business as

National Provider Directory

National Provider Directory
Part of
Ekaterina Malinovska DDS PLLC

Locations

5920 Evergreen Way
Ste E
Everett, WA 98203
Phone (425) 353-4884

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1922545276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 EVERGREEN WAY SUITE E",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-355-2330",
            "fax_number": "425-355-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 EVERGREEN WAY SUITE E",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-355-2330",
            "fax_number": "425-355-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKATERINA MALINOVSKA DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE DENTAL GROUP",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "MALINOVSKA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-355-2330",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067990",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.