RICHARD JIMENEZ (D.M.D.) – Dentist, NPI 1467077891
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RICHARD JIMENEZ (D.M.D.)
PO BOX 21
ONALASKA, WA 985700021
Phone: (360) 269-0322
Type: Mailing
1202 M.L.K. JR WAY SUITE #310
TACOMA, WA 98405
Phone: (253) 441-4743
Type: Location
1051 Columbia Ave
Connell, WA 993268702
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1515 E COLUMBIA ST
OTHELLO, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-12
PECOS data refreshed: 2026-05-27
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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 98570)
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