Justin Blake Perkins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008724 Issued in WA

Practice address

811 NE 112TH Ave
Ste 100
Vancouver, WA 98684-5115

Phone

(360) 892-7780

Fax

(360) 892-0181

NPI assigned

Sep 20, 2005

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• J. Blake Perkins, DDS, PS

  dba Today's Family Dentistry

  • Dentist
  • Vancouver, WA
  • NPI 1104084276
  Authorized official Same address or phone
• J.Blake Perkins D.D.S. P.S.

  dba New Image Dentistry

  • Dentist
  • Vancouver, WA
  • NPI 1568912426
  NPD (past) Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1164417796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 NE 112TH AVE",
            "address_2": "STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845115",
            "telephone_number": "360-604-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE 112TH AVE",
            "address_2": "STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845115",
            "telephone_number": "360-892-7780",
            "fax_number": "360-892-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JUSTIN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oxana V Perian, RC
• Catalina Perilla-Suarez
• Joseph Fred Perin Sr., D.C.
• Periodontal Concepts
• Breanna Perkins, HEARING INSTRUMENT S
• Brittany C Perrenoud
• Heather Nicole Perrin
• Marisa Evelyn Perring
• Allison Perry, RN
• Amy J Perry, MS, LMHC, MHP, CMHS

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.