Organization Active NPI

Ames Boyack Despain PLLC

Doing business as Rain Shadow Dental

  • Dental Clinic/Center
  • Sequim, WA
National Provider Identifier
1962278242
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMES BOYACK DESPAIN PLLC
Doing business as
Rain Shadow Dental
Practice address
512 E Washington St Ste 3
Sequim, WA 98382-3598
Phone
(360) 681-6834
Fax
(360) 681-6855
NPI assigned
Nov 28, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jared A Despain, DDS
Title
Owner
Phone
(509) 430-8578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

512 E Washington St Ste 3
Sequim, WA 98382-3598

Mailing address

150 W Sequim Bay Rd
Sequim, WA 98382-8406
Phone (360) 565-5066

Other names 1

  • Rain Shadow Dental Doing business as

National Provider Directory

National Provider Directory

Locations

512 E Washington St
Ste 3
Sequim, WA 98382
Phone (360) 681-6834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1962278242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SEQUIM BAY RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828406",
            "telephone_number": "360-565-5066",
            "fax_number": "360-504-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WASHINGTON ST STE 3",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823598",
            "telephone_number": "360-681-6834",
            "fax_number": "360-681-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMES BOYACK DESPAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "DESPAIN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-430-8578",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rain Shadow Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.