Active NPI 1932376779 Individual Practitioner Male Practitioner

Dr. Siva Prakash Kolla , DDS

Dentist - General Practice • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Siva Kolla, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bellevue, WA. Practice services are available at 16657 NORTHUP WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16657 Northup Way

Bellevue, WA 980083045

Telephone 7243932069

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellevue, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

148 Specialists

Practicing in Bellevue, WA (3345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-17

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60606397

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

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Updated Practice Location June 26, 2023

Registered at 16657 NORTHUP WAY, BELLEVUE, WA 980083045 (Tel: 7243932069)

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Updated Practice Location June 06, 2023

Registered at 21610 PACIFIC WAY, OCEAN PARK, WA 986403206 (Tel: 3606653000)

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Updated Business Mailing Address June 06, 2023

Registered at 8316 W BURROUGHS RD, DEER PARK, WA 990069764 (Tel: 4256285353)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2023

Dentist (License #DE60606397 in WA)

✅

NPI Profile Active October 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2015

Registered at 16657 NORTHUP WAY, BELLEVUE, WA 980083045 (Tel: 7243932069)

📍

Updated Business Mailing Address October 23, 2015

Registered at 16657 NORTHUP WAY, BELLEVUE, WA 980083045 (Tel: 7243932069)

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Provider Name / Credentials Updated October 23, 2015

Recorded as SIVA KOLLA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2015

Dentist (License #DS028811-L in PA)

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Initial NPI Registration & Enumeration May 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932376779

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 12, 2008

Last Update: July 17, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8316 W Burroughs Rd

Deer Park, WA 990069764

Phone: 4256285353

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.