Active NPI
Jane Malin Espeseth, D.D.S
- Dentist
- Lincoln City, OR
National Provider Identifier
1285677799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9729
- Practice address
- 2825 NE W Devils LK Rd
Lincoln City, OR 97367-5128 - Phone
- (541) 994-3033
- Fax
- (541) 994-6489
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 6819 | NC | |
| Dentist | 122300000X | DE60571710 | WA | |
| Dentist | 122300000X | D9729 | OR | Primary |
Addresses
Primary practice location
2825 NE W Devils LK Rd
Lincoln City, OR 97367-5128
Mailing address
15 N Nevada Ave
Colorado Springs, CO 80903-1708
Phone (719) 576-1850
Other practice location 1
82 E Francis Ave
Spokane, WA 99208-1070
Phone (509) 484-4746
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 |
|---|---|---|---|
| D9729 | OR | MD | Dentist |
| DE60571710 | WA | MD | Dentist |
| 6819 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hero Dental of Spokane PC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Spokane, WA
- NPI 1598934853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1285677799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N NEVADA AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031708",
"telephone_number": "719-576-1850",
"fax_number": "719-576-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 NE W DEVILS LK RD",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675128",
"telephone_number": "541-994-3033",
"fax_number": "541-994-6489"
}
],
"practiceLocations": [
{
"address_1": "82 E Francis Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992081070",
"country_code": "US",
"telephone_number": "509-484-4746",
"fax_number": "509-484-8281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPESETH",
"first_name": "JANE",
"middle_name": "MALIN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NC",
"license": "6819",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60571710",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.