Active NPI
Jacob A Kerst, D.D.S.
- General Practice Dentistry
- Spokane, WA
National Provider Identifier
1619069861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7451
- Practice address
- 4100 S Cheney Spokane Rd Ste B
Spokane, WA 99224-5196 - Phone
- (509) 455-5001
- Fax
- (509) 919-3537
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7451 | WA | Primary |
Addresses
Primary practice location
4100 S Cheney Spokane Rd Ste B
Spokane, WA 99224-5196
Mailing address
4100 S Cheney Spokane Rd Ste B
Spokane, WA 99224-5196
Phone (509) 455-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 912070834 | Other | WA | TAX ID# |
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 |
|---|---|---|---|
| 7451 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1619069861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 S CHENEY SPOKANE RD STE B",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992245196",
"telephone_number": "509-455-5001",
"fax_number": "509-919-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 S CHENEY SPOKANE RD STE B",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992245196",
"telephone_number": "509-455-5001",
"fax_number": "509-919-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERST",
"first_name": "JACOB",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "7451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "912070834",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.