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Jd Online LLC

Multi-Specialty Clinic/Center in Liberty Lake, WA · enumerated 2024 · authorized official Jared Evans, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588408504

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Registry record

Entity type Organization (Type 2)
Legal business name Jd Online LLC
Practice address 23403 E Mission Ave, Suite 217, Liberty Lake, WA, 99019
Fax (509) 891-4741
Enumeration date Jun 24, 2024
Last updated in NPPES Jun 24, 2024

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
302F00000X Exclusive Provider Organization Managed Care Organizations Secondary

Authorized official

Name Jared Evans
Title Dentist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jd Online LLC?
The NPI for Jd Online LLC is 1588408504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jd Online LLC?
NPPES lists Jared Evans (Dentist) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-24.