Active NPI
Ross Jagger Sapp, D.D.S.
- Dentist
- Lacey, WA
National Provider Identifier
1023362803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60314803
- Practice address
- 4535 Lacey Blvd SE
Lacey, WA 98503-5718 - Phone
- (360) 459-9657
- Fax
- (360) 459-9652
- NPI assigned
- Nov 1, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE 60314803 | WA | Primary |
Addresses
Primary practice location
4535 Lacey Blvd SE
Lacey, WA 98503-5718
Mailing address
220 Lilly Rd NE Ste B
Olympia, WA 98506-6101
Phone (360) 459-9657
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 |
|---|---|---|---|
| DE 60314803 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross Jagger Sapp PLLC | Current | Accepting new patients |
Locations
4535 Lacey Blvd SE
Lacey, WA 98503
Phone (360) 459-9657
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1023362803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 LILLY RD NE STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066101",
"telephone_number": "360-459-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 LACEY BLVD SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985035718",
"telephone_number": "360-459-9657",
"fax_number": "360-459-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPP",
"first_name": "ROSS",
"middle_name": "JAGGER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-01",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60314803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.