Active NPI
Juan C. Dapena, MD
- Family Medicine Physician
- Silverdale, WA
National Provider Identifier
1629040837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101249846
- Practice address
- 7111 Sealion Rd
Silverdale, WA 98315-7102 - Phone
- (360) 315-3683
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101249846 | VA | Primary |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | MD61453236 | WA |
Addresses
Primary practice location
7111 Sealion Rd
Silverdale, WA 98315-7102
Mailing address
7111 Sealion Rd
Silverdale, WA 98315-7102
Phone (360) 315-3683
Other practice location 1
Coastal Riverine Group TWO
Bldg 1575, NNSY
Portsmouth, VA 23709
Phone (757) 967-2531
Other practice location 2
220 Hovey Rd Bldg 488
Pensacola, FL 32508
Phone (850) 452-3409
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61453236 | WA | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1629040837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 SEALION RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983157102",
"telephone_number": "360-315-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 SEALION RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983157102",
"telephone_number": "360-315-3683"
}
],
"practiceLocations": [
{
"address_1": "Coastal Riverine Group TWO",
"address_2": "Bldg 1575, NNSY",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "23709",
"country_code": "US",
"telephone_number": "757-967-2531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Hovey Rd Bldg 488",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "32508",
"country_code": "US",
"telephone_number": "850-452-3409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAPENA",
"first_name": "JUAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101249846",
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "WA",
"license": "MD61453236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.