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Active NPI 1023683398 Individual Practitioner Male Practitioner

Dr. Jake Ericksen , DDS

Dentist • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jake Ericksen, DDS is a registered healthcare professional specializing in Dentist in Bellevue, WA. Practice services are available at 5611 119TH AVE SE STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5611 119th Ave Se Ste 2

Bellevue, WA 980063799

Telephone 4257466554
Associated Practice Facility / Clinic
🏢 Newport Hills Dental Facility NPI 1437009024

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
119 Specialists

Practicing in Bellevue, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE61166100

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Soumya Pandey

Dentist - General Practice

NPI 1285915074
Dr. Matt Pilot , DDS

Dentist - General Practice

NPI 1801970371

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated July 08, 2021

Recorded as JAKE ERICKSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2021

Dentist (License #DE61166100 in WA)

NPI Profile Active May 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2021

Registered at 5611 119TH AVE SE STE 2, BELLEVUE, WA 980063799 (Tel: 4257466554)

📍
Updated Business Mailing Address May 20, 2021

Registered at 1800 EASTLAKE AVE E APT 301, SEATTLE, WA 981023787

👤
Provider Name / Credentials Updated May 20, 2021

Recorded as JAKE ERICKSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023683398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2021
Last Update: July 08, 2021
Sole Proprietor: No

Mailing Address

1800 Eastlake Ave E Apt 301

Seattle, WA 981023787

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.