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Dr. Jonathan David Porter , DDS

Dentist - General Practice • Tacoma, WA

Active NPI 1811161508 Individual Practitioner Male Practitioner
Practice location in NPPES

1202 Martin Luther King Jr Way
Tacoma, WA 984053926

Call 2534414743 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1202 Martin Luther King Jr Way

Tacoma, WA 984053926

Telephone 2534414743
Fax 2534428840
Organization at the Same NPPES Address or Phone
Community Health Care Facility NPI 1487731352

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

122 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$800 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Porter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Porter as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tacoma and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Dentist - General Practice in Tacoma, WA (2024, 39 clinicians with data). Median for this group: 38. Middle half: 20 to 85.

More Part D prescriptions than 90% of clinicians listed under Dentist - General Practice in Washington (2024, 1,213 clinicians with data). Median for this group: 31. Middle half: 17 to 57.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Dentist - General Practice in Tacoma, WA (2024, 39 clinicians with data). Median for this group: $163. Middle half: $56 to $339.

A higher Part D drug cost than 95% of clinicians listed under Dentist - General Practice in Washington (2024, 1,213 clinicians with data). Median for this group: $109. Middle half: $55 to $227.

139 active clinicians are listed under Dentist - General Practice with a practice address in Tacoma, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tacoma

0% of these 139 clinicians have the CMS telehealth indicator.

0% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 47 371 $167.76 35
Ibuprofen Ibuprofen 30 217 $125.12 22
Clindamycin Hcl Clindamycin Hcl 27 257 $293.95 20
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 18 161 $212.78 16

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DE60022547

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - ORAL SURGERY

Medicare Enrollment ID

I20160329002777

Enrollment State Jurisdiction

WA

PECOS Control ID

0840597282

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Diantha Berg , DDS

Dentist - General Practice

NPI 1598806697

Doctor of Dental Surgery

Virginia Buccola , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124398482

Psychiatric-Mental Health Nurse Practitioner

NPI 1699470179

Doctor of Dental Medicine

Dr. Amanda Kobayashi , DDS

Dentist - General Practice

NPI 1578174140

Doctor of Dental Surgery

Joelle Moussi

Student in an Organized Health Care Education/Training Program

NPI 1740869916
NPI 1871567016

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2026

Dentist (license number reported to NPPES: WA DE60022547)

âś…
NPI Profile Active November 12, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 12, 2015

Registered at 1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 984053926 (Tel: 2534414743)

📍
Business Mailing Address (Initial Record) November 12, 2015

Registered at 1019 PACIFIC AVE, STE. 300, TACOMA, WA 984024443 (Tel: 2535974550)

👤
Provider Name / Credentials (Initial Record) November 12, 2015

Recorded as JONATHAN PORTER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2015

Dentist (license number reported to NPPES: NY 053634-1)

🟢
Initial NPI Registration & Enumeration April 15, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811161508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2008
Last Update: March 17, 2026
Sole Proprietor: No

Other Dentist - General Practices in Tacoma

All Dentist - General Practices in Tacoma

Mailing Address

1019 Pacific Ave, Ste. 300

Tacoma, WA 984024443

Phone: 2535974550

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.