Active NPI
Jason Niemeyer, D.D.S.
- Dentist
- Silverdale, WA
National Provider Identifier
1881856979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60014720
- Practice address
- 3637 NW Byron St
Silverdale, WA 98383-9127 - Phone
- (360) 692-9560
- Fax
- (360) 692-1729
- NPI assigned
- Jun 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE 60014720 | WA | Primary |
Addresses
Primary practice location
3637 NW Byron St
Silverdale, WA 98383-9127
Mailing address
3637 NW Byron St
Silverdale, WA 98383-9127
Phone (360) 692-9560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 8, 2020 through Oct 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60014720 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1881856979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 NW BYRON ST",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839127",
"telephone_number": "360-692-9560",
"fax_number": "360-692-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 NW BYRON ST",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839127",
"telephone_number": "360-692-9560",
"fax_number": "360-692-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMEYER",
"first_name": "JASON",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60014720",
"primary": true
}
],
"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, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.