DR. JUSTIN BLAKE PERKINS (D.D.S.) – General Practice Dentistry, NPI 1164417796
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JUSTIN BLAKE PERKINS (D.D.S.)
Sunrise Medical Plaza, 811, Northeast 112th Avenue, Fircrest, Vancouver, Clark County, Washington, 98684, United States
STE 100
VANCOUVER, WA 986845115
Phone: (360) 604-7151
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 3 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: PATTERSON COMPANIES, INC. ($85).
Total Amount
$98
General + Research + Ownership
Payments
3
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PATTERSON COMPANIES, INC. | $85 |
| Dentsply Sirona Inc | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041229000121 | I | Oral Surgery | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 98684)
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