DR. JASON R BOURNE (DDS, MS) – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1104922194

DR. JASON R BOURNE (DDS, MS) is a healthcare provider. based in Marysville, Washington. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold the professional credentials DDS, MS. They hold a License No. DE00009603 (WA). The NPI Number for DR. JASON R BOURNE (DDS, MS) is 1104922194

Main info

Male
Name
DR. JASON R BOURNE (DDS, MS)
NPI
1104922194
Phone
(360) 659-0211
Address
815 STATE AVE
Enumeration Date
16 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JASON R BOURNE (DDS, MS)

  • OpusBank, 815, State Avenue, Marysville, Snohomish County, Washington, 98270, United States

    SUITE 3

    MARYSVILLE, WA 982704254

    Phone: (360) 659-0211

    Fax: (360) 658-0716

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Solventum Corporation ($322).

Total Amount

$344

General + Research + Ownership

Payments

5

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98270)

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Reviews

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Frequently asked questions

What NPI should I save for DR. JASON R BOURNE (DDS, MS)?
Save NPI 1104922194 if you need a stable reference for DR. JASON R BOURNE (DDS, MS).
Is DR. JASON R BOURNE (DDS, MS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. JASON R BOURNE (DDS, MS) list a primary specialty?
If you are matching referrals, note Orthodontics and Dentofacial Orthopedics Dentistry for DR. JASON R BOURNE (DDS, MS). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JASON R BOURNE (DDS, MS)?
The page summarizes Marysville, Washington for DR. JASON R BOURNE (DDS, MS); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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