NPIMap

Organization Active NPI

Jacob R. Farmer, DDS, PLLC

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1972227726
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JACOB R. FARMER, DDS, PLLC
Practice address
4305 NE Thurston Way
Vancouver, WA 98662-6655
Phone
(360) 514-9212
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Jacob Robert Farmer, DDSNPI 1437564606
Title
Dentist
Phone
(360) 514-9212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4305 NE Thurston Way
Vancouver, WA 98662-6655

Mailing address

4305 NE Thurston Way
Vancouver, WA 98662-6655
Phone (360) 514-9212

National Provider Directory

National Provider Directory

Locations

4305 NE Thurston Way
Vancouver, WA 98662
Phone (360) 514-9212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1972227726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 NE THURSTON WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626655",
            "telephone_number": "360-514-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 NE THURSTON WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626655",
            "telephone_number": "360-514-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB R. FARMER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-514-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.