Jasen Scott Debrine

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12095 Issued in OR

Practice address

1640 G St
Springfield, OR 97477

Phone

(541) 484-2046

Fax

(801) 798-1186

NPI assigned

Jul 14, 2021

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 CO

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

State licenses

Practice roles

Locations

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.

• Brandon R Wilcox DDS PLLC

  dba JP Dental Implants and Sedation

  • General Practice Dentistry
  • Grand Junction, CO
  • NPI 1851988059
  Medicare reassignment NPD
• Atwood, Strong, & Associates, PLLC

  dba South Valley Dental Care

  • General Practice Dentistry
  • Spanish Fork, UT
  • NPI 1821789579
  NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1366014730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-484-2046",
            "fax_number": "801-798-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-484-2046",
            "fax_number": "801-798-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRINE",
        "first_name": "JASEN",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D12095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J De Lee, MD
• Eric Norman Dean
• Meghan C Dean
• Audrey Deardorff
• Karlyn Debow, R.D.
• Shawn Michael Decalesta
• Naomi Suzanne Decelles, A.A.
• Carrie Decker, LPN
• Bridget Anne Dedelow
• Michael Keith Deford, NP

• General Practice Dentistry in Springfield, OR
• Providers in Springfield, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.