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JESSICA KOBY D.M.D.
NPI 1619350147
Dentist in Tacoma, WA

Active since July 01, 2015PECOS Enrolled
1148 BROADWAY STE 100, TACOMA, WA 98402(253) 572-7002 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Oct 12, 2016 (2 updates tracked since 2016).

About Jessica Koby D.m.d. NPPES

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

JESSICA KOBY D.M.D. (NPI 1619350147) is an individual dentist in Tacoma, Washington, licensed in Washington (DE60691606) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619350147
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJESSICA KOBYCredential: D.M.D.
Location Address1148 BROADWAY STE 100Tacoma, WA 98402-3518
Mailing Address1148 Broadway Ste 100Tacoma, WA 98402-3518 · (253) 572-7002
Phone(253) 572-7002
Sole ProprietorNo
Enumeration DateJuly 1, 2015
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1619350147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60691606
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1148 BROADWAY STE 100, Tacoma, WA 98402
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Koby D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. LORI M WELLER CNP
Nurse Practitioner
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 589-7030
LISA PRICE RDH
Dental Hygienist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 268-1184
JENNIFER TABAKIN MD
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 597-4550
MAI PHUONG NGOC NGUYEN D.D.S.
Dentist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 268-1170
CHAITRI DESAI
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
ASHLEY BURKHAMER RN
Registered Nurse
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
MR. JOHN M GARCIA PA C
Physician Assistant (Medical)
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161
JESSICA ROSE SKELTON DO
Family Medicine
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161

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 Jessica Koby's NPI number?

The NPI number for Jessica Koby is 1619350147. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Jessica Koby located?

Jessica Koby practices at 1148 Broadway Ste 100, Tacoma, WA 98402. The listed phone number is (253) 572-7002.

What is Jessica Koby's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Koby enrolled in Medicare?

Yes. Jessica Koby is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Koby accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Jessica Koby 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 Jessica Koby was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.