OrganizationActive
Jd Online LLC
NPI 1588408504 · Multi-Specialty Clinic/Center · Liberty Lake, WA
Provider details
- NPI number
- 1588408504
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jared Evans, Dentist(509) 389-9333
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
- Exclusive Provider Organization302F00000X
Managed Care Organizations
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23403 E Mission Ave
Suite 217
Liberty Lake, WA 99019
Phone: (509) 645-2640
Fax: (509) 891-4741
Street-level locationGet directions
Mailing address
1327 N Stanford Ln
Liberty Lake, WA 99019
Other names (DBA / former)
- Doing business as
- Washington Medical Group
Registry dates
- Enumerated
- 2024-06-24
- Last updated
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.