Shawn Arnell Jepsen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7660 Issued in KY

Practice address

US Army Dental Activity BLDG 9900
2ND FL , Credentials Office, Attn: Peggy Lewis
Tacoma, WA 98431

Phone

(253) 968-4039

Fax

(253) 968-4039

NPI assigned

Dec 28, 2005

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sjepsen262017@ahs.direct-ci.com

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1346227618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL ACTIVITY BLDG 9900",
            "address_2": "2ND FL , CREDENTIALS OFFICE, ATTN: PEGGY LEWIS",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-4039",
            "fax_number": "253-968-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL ACTIVITY BLDG 9900",
            "address_2": "2ND FL , CREDENTIALS OFFICE, ATTN: PEGGY LEWIS",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-4039",
            "fax_number": "253-968-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "SHAWN",
        "middle_name": "ARNELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngha Jeon, PHARM.D.
• Seoung Rea Jeoung, RPH
• Lanae Jeppesen
• Janice Lynne Jepsen
• Jennifer Lynn Jepsen, PHARMD
• Jacob Jerdon, D.O.
• Daniel Valentin Jereza, MD
• Amber Katelyn Jeromchek, OTD
• Tina Marie Jesse
• Leilani Ramirez Jessie

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.