Active NPI
Vadim Zalyashko, LLD DENTURIST
- Denturist
- Vancouver, WA
National Provider Identifier
1942630645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN60141938
- Practice address
- 13720 NE 28TH St Ste B
Vancouver, WA 98682-8289 - Phone
- (360) 256-4656
- NPI assigned
- Nov 15, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Denturist | 122400000X | DN60141938 | WA | Primary |
Addresses
Primary practice location
13720 NE 28TH St Ste B
Vancouver, WA 98682-8289
Mailing address
13720 NE 28TH St Ste B
Vancouver, WA 98682-8289
Phone (360) 256-4656
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 |
|---|---|---|---|
| DN60141938 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1942630645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13720 NE 28TH ST STE B",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986828289",
"telephone_number": "360-256-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13720 NE 28TH ST STE B",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986828289",
"telephone_number": "360-256-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALYASHKO",
"first_name": "VADIM",
"credential": "LLD DENTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-15",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN60141938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.