DR. JASON R BOURNE DDS, MS
NPI 1104922194
Dentist - Orthodontics and Dentofacial Orthopedics in Marysville, WA

Active since September 16, 2006
815 STATE AVE, SUITE 3, MARYSVILLE, WA 98270(360) 659-0211(360) 658-0716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason R Bourne Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON R BOURNE DDS, MS (NPI 1104922194) is an individual orthodontics and dentofacial orthopedics provider in Marysville, Washington, licensed in Washington (DE00009603) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104922194
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JASON R BOURNECredential: DDS, MS
Location Address815 STATE AVE, SUITE 3Marysville, WA 98270-4254
Mailing Address815 State Ave, Suite 3Marysville, WA 98270-4254 · (360) 659-0211 · Fax (360) 658-0716
Fax(360) 658-0716
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104922194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WA · DE00009603
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
815 STATE AVE, Marysville, WA 98270

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Bourne's NPI number?

The NPI number for Jason Bourne is 1104922194. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Jason Bourne located?

Jason Bourne practices at 815 State Ave Suite 3, Marysville, WA 98270. The listed phone number is (360) 659-0211.

What is Jason Bourne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Jason Bourne accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Jason Bourne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Bourne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.