Andy Andreyevich Shimchuk

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DENT.DE.70082594 Issued in WA

Practice address

550 N 5TH Ave
Sequim, WA 98382-3079

Phone

(360) 681-0900

NPI assigned

Apr 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ashimchuk136452@uihealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alan L. Peet DDS PLLC

  • Dental Clinic/Center
  • Sequim, WA
  • NPI 1437185006
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1952045742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-681-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-681-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMCHUK",
        "first_name": "ANDY",
        "middle_name": "ANDREYEVICH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033860",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DENT.DE.70082594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequim Vision Clinic PS
• Binay Kumar Shah, MD
• Sheeler Denture Clinic
• Sindie Lou Sheeler, DN60313524
• Sherwood Medical Center
• Teresa Shiraishi, LICSW
• Mark Edward Sienko, M.D.
• Sight Partners Physicians, P.C.
• Elizabeth Inez Silva, LMSW, LSWAIC
• Michelle L Simmons-Wolfgang, LMP

• Oral and Maxillofacial Surgery (Dentist) in Sequim, WA
• Providers in Sequim, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.

Verify at the official NPI Registry.