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JENNIFER TA LY DMD
NPI 1851068506
Dentist - General Practice in Vancouver, WA

Active since August 29, 2021PECOS Enrolled
14201 NE 20TH AVE STE A101, VANCOUVER, WA 98686(360) 882-0222 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Feb 3, 2025, Dec 10, 2023 and 3 more (6 updates tracked since 2021).

About Jennifer Ta Ly Dmd NPPES

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

JENNIFER TA LY DMD (NPI 1851068506) is an individual general practice provider in Vancouver, Washington, licensed in Washington (DE61309953) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1851068506
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJENNIFER TA LYCredential: DMD
Location Address14201 NE 20TH AVE STE A101Vancouver, WA 98686-6411
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(360) 882-0222
Sole ProprietorNo
Enumeration DateAugust 29, 2021
Last NPPES UpdateOctober 24, 20256 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1851068506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WA · DE61309953✔ Licensed in OR · D11518
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License DE61309953 (WA)
14201 NE 20TH AVE STE A101, Vancouver, WA 98686
Open in Google Maps ↗

Secondary Practice Location 1

Location 119005 SE 34th StVancouver, WA 98683-1450 · Phone (360) 726-6730 · Fax (360) 726-6731

Other Identifiers 1

Medicaid2309037WA

Accepted Insurance

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

Jennifer Ta Ly Dmd 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 98686 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 2

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

DR. KRISTOPHER K KOSTENKO D.D.S.
Dentist
14201 NE 20TH AVE STE A101
VANCOUVER, WA 98686
Clark County (360) 882-0222
TD SALMON CREEK LLP
Clinic/Center (Dental)
14201 NE 20TH AVE STE A101
VANCOUVER, WA 98686
Clark County (360) 667-5676

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 Jennifer Ly's NPI number?

The NPI number for Jennifer Ly is 1851068506. It was assigned to this individual provider in the NPPES registry on August 29, 2021.

Where is Jennifer Ly located?

Jennifer Ly practices at 14201 NE 20th Ave Ste A101, Vancouver, WA 98686. The listed phone number is (360) 882-0222.

What is Jennifer Ly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Ly enrolled in Medicare?

Yes. Jennifer Ly is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Ly accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and HRI Dental & Vision and 5 other insurers list Jennifer Ly 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 Jennifer Ly was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.