Jessica Elizabeth Raastad, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60877921 Issued in WA

Practice address

16202 64TH St E Ste 101
Sumner, WA 98390-3028

Phone

(253) 891-0977

NPI assigned

Jul 19, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Colton/Christiansen PLLC

  • General Practice Dentistry
  • Sumner, WA
  • NPI 1699911222
  NPD (past)
• Pamela J Butterfield, DDS, PLLC

  • Dental Clinic/Center
  • Kent, WA
  • NPI 1396683736
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1174000467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S 357TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038603",
            "telephone_number": "425-306-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16202 64TH ST E STE 101",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983903028",
            "telephone_number": "253-891-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAASTAD",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60877921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loghan Pineda
• Audrey L Pitigliano, C.N.
• Leanne Marie Pusateri, LMP
• Puyallup Integrative Massage LLC
• Verne Qualls, M.A., CCC-SLP
• Joseph T Ragland, CAAR
• Rainier Dental-Sumner
• Rainier Family and Sports Medicine P C
• Rebecca Muirhead PSYD, PLLC
• Rochelle Richards

• Dentist in Sumner, WA
• Providers in Sumner, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.