Jacob Farmer

Primary specialty

DentistTaxonomy code 122300000X

License

DE60475801 Issued in WA

Practice address

811 NE 112TH Ave
Suite 100
Vancouver, WA 98684-5115

Phone

(360) 604-7151

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 WA

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

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.

• Jacob R. Farmer, DDS, PLLC

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1972227726
  NPD Authorized official
• J. Blake Perkins, DDS, PS

  dba Today's Family Dentistry

  • Dentist
  • Vancouver, WA
  • NPI 1104084276
  NPD (past)
• J.Blake Perkins D.D.S. P.S.

  dba New Image Dentistry

  • Dentist
  • Vancouver, WA
  • NPI 1568912426
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1437564606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14305 NE 94TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823083",
            "telephone_number": "360-909-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE 112TH AVE",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845115",
            "telephone_number": "360-604-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60475801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Faria, DO
• Natalie Farias
• Laura Anne Farley, PSY.D.
• Patrick John Farley, CDPT
• Hope Renee Farmer
• Samantha Renee Farmer, LMHC, LMFT
• Kevin Farnham, LAC.
• Michela Farnsworth, LICSW
• Tamara Ann Farr, LMP
• Hannah Leigh Farrar, SUDPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.