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JACOB GROOM DMD
NPI 1902476682
Dentist - General Practice in Vancouver, WA

Active since June 25, 2021
7012 NE 40TH ST, VANCOUVER, WA 98661(360) 254-5254 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2025, Jun 25, 2021 (2 updates tracked since 2021).

About Jacob Groom Dmd NPPES

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

JACOB GROOM DMD (NPI 1902476682) is an individual general practice provider in Vancouver, Washington, licensed in Washington (DE61203036) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1902476682
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB GROOMCredential: DMD
Location Address7012 NE 40TH STVancouver, WA 98661-3052
Mailing Address4530 Nw Walden StCamas, WA 98607-9130 · (503) 702-6532
Phone(360) 254-5254
Sole ProprietorYes
Enumeration DateJune 25, 2021
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1902476682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE61203036
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.
7012 NE 40TH ST, Vancouver, WA 98661
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES 3

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

MR. ROBERT C JANISSE DDS
Dentist (General Practice)
7012 NE 40TH ST
VANCOUVER, WA 98661
Clark County (360) 254-5254
WENDEL FAMILY DENTAL CENTRE PS
Dentist (General Practice)
7012 NE 40TH ST
VANCOUVER, WA 98661
Clark County (360) 254-5254
ROGER WENDEL DMD
Dentist (General Practice)
7012 NE 40TH ST
VANCOUVER, WA 98661
Clark County (360) 254-5254

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 Jacob Groom's NPI number?

The NPI number for Jacob Groom is 1902476682. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Jacob Groom located?

Jacob Groom practices at 7012 NE 40th St, Vancouver, WA 98661. The listed phone number is (360) 254-5254.

What is Jacob Groom's specialty?

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

What insurance does Jacob Groom 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 Jacob Groom 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 Jacob Groom was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.