Jared A Despain, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9908 Issued in WA

Practice address

150 W Sequim Bay Rd
Sequim, WA 98382-8406

Phone

(509) 737-0327

Fax

(509) 737-1360

NPI assigned

Sep 20, 2006

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

Other identifiers 1

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

State licenses

Practice roles

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.

• Despain Boyack PLLC

  • General Practice Dentistry
  • Sequim, WA
  • NPI 1225619984
  NPD (past) Authorized official
• Creekside Dental Sleep Therapy PLLC

  • Dentist
  • Kennewick, WA
  • NPI 1538527114
  NPD (past)
• Csdental, PLLC

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1679642151
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1578660437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N EDISON ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361956",
            "telephone_number": "509-737-0327",
            "fax_number": "509-737-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W SEQUIM BAY RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828406",
            "telephone_number": "509-737-0327",
            "fax_number": "509-737-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Washington St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983686715",
            "country_code": "US",
            "telephone_number": "360-385-3100",
            "fax_number": "360-385-6044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 N Sequim Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823686",
            "country_code": "US",
            "telephone_number": "360-683-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPAIN",
        "first_name": "JARED",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "9908",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Marie Delre, LMP
• Dennis F. Dundas, MD
• Denturecare, Inc.
• Carolyn Desalvo, M.D.
• Despain Boyack PLLC
• Sharla Dewan
• Sydney D Dineen
• David Kien DO, D.D.S.
• Beth Donelan, PA-C
• Sarah Dorsey, PT

• 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 Nov 2, 2023; 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.