DR. JARED V BLOXHAM D.D.S.
NPI 1386741239
Dentist - Orofacial Pain in Richland, WA

Q: What is Jared Bloxham's NPI number?

The NPI number for Jared Bloxham is 1386741239. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Jared Bloxham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Q: Is Jared Bloxham enrolled in Medicare?

No. Jared Bloxham has opted out of Medicare through February 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jared Bloxham was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 20, 2006Opted out of Medicare · through Feb 26, 2028

1363 COLUMBIA PARK TRL STE 101, RICHLAND, WA 99352(509) 578-5770(509) 578-5774 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jared V Bloxham D.d.s. NPPES

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

DR. JARED V BLOXHAM D.D.S. (NPI 1386741239) is an individual orofacial pain provider in Richland, Washington, licensed in Washington (10135) and active in the NPI registry since September 2006. He has opted out of Medicare through February 26, 2028.

NPPES Registry Identity

NPI1386741239

Entity TypeIndividualMale

Primary Taxonomy1223X2210X

Provider Legal NameDR. JARED V BLOXHAMCredential: D.D.S.

Location Address1363 COLUMBIA PARK TRL STE 101Richland, WA 99352-4770

Mailing Address1363 Columbia Park Trl Ste 101Richland, WA 99352-4770 · (509) 578-5770 · Fax (509) 578-5774

Phone(509) 578-5770

Fax(509) 578-5774

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 16, 2020

NPPES CertifiedMarch 16, 2020

✔ NPI 1386741239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

License✔ Licensed in WA · 10135

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10135 (WA)

1363 COLUMBIA PARK TRL STE 101, Richland, WA 99352

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Other Identifiers 1

Medicaid5049150WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jared V Bloxham D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2024 through February 26, 2028.

Opt-Out Effective DateFebruary 26, 2024

Opt-Out In Effect ThroughFebruary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED BLOXHAM, PLLC

Dentist (Orofacial Pain)

1363 COLUMBIA PARK TRL STE 101
RICHLAND, WA 99352

Benton County (509) 578-5770

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 Jared Bloxham's NPI number?

The NPI number for Jared Bloxham is 1386741239. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jared Bloxham located?

Jared Bloxham practices at 1363 Columbia Park Trl Ste 101, Richland, WA 99352. The listed phone number is (509) 578-5770.

What is Jared Bloxham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Jared Bloxham enrolled in Medicare?

No. Jared Bloxham has opted out of Medicare through February 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jared Bloxham 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 Humana list Jared Bloxham 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 Jared Bloxham was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.