Despain Boyack PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DESPAIN BOYACK PLLC

Practice address

321 N Sequim Ave Ste D
Sequim, WA 98382-3686

Phone

(360) 683-5700

Fax

(360) 683-7132

NPI assigned

Apr 15, 2021

Organization subpart

Yes

Parent organization

BOYACK & DESPAIN PLLCAs reported in NPPES

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

Authorized official

Name

Jared Despain, DDSNPI 1578660437

Title

Owner

Phone

(360) 565-5066

Specialties & licenses 1

Addresses

Other names 2

• Advanta Dental Doing business as
• Olympic SmileCare Doing business as

Part of

Boyack Despain PLLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared A Despain, D.D.S.

  • General Practice Dentistry
  • Sequim, WA
  • NPI 1578660437
  NPD (past) Authorized official
• Richard Edmund Ruder, DDS

  • Dentist
  • Sequim, WA
  • NPI 1427620863
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1225619984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SEQUIM BAY RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828406",
            "telephone_number": "360-565-5066",
            "fax_number": "360-504-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N SEQUIM AVE STE D",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823686",
            "telephone_number": "360-683-5700",
            "fax_number": "360-683-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESPAIN BOYACK PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOYACK & DESPAIN PLLC",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "DESPAIN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-565-5066",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanta Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympic SmileCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Jayne Debell, SLPA
• Leslie Marie Delre, LMP
• Dennis F. Dundas, MD
• Denturecare, Inc.
• Carolyn Desalvo, M.D.
• Jared A Despain, D.D.S.
• Sharla Dewan
• Sydney D Dineen
• David Kien DO, D.D.S.
• Beth Donelan, PA-C

• General Practice Dentistry in Sequim, WA
• Providers in Sequim, 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 Apr 15, 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.