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Active NPI 1225295009 Individual Practitioner Female Practitioner

Dr. Mamatha Chenepalli , DMD

Dentist • Des Moines, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mamatha Chenepalli, DMD is a registered healthcare professional specializing in Dentist in Des Moines, WA. Practice services are available at 26401 PACIFIC HWY S STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26401 Pacific Hwy S Ste 101

Des Moines, WA 981989247

Telephone 4252771311
Associated Practice Facility / Clinic
🏢 Healthpoint Facility NPI 1730186966

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Des Moines, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Des Moines, WA (2853 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: 2024-12-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00009662

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

22625 Pacific Hwy S

Des Moines, WA 981985110

Phone: 2068785665

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jessica Lu , MD

Family Medicine

NPI 1023512134

Doctor of Medicine (M.D.)

Crystal Hua

Family Medicine

NPI 1033647938
NPI 1033994348

Doctor of Pharmacy (Pharm.D.)

Huyen Huynh

Student in an Organized Health Care Education/Training Program

NPI 1104515717
NPI 1154685261
Dr. Kenera Colley , DO

Family Medicine

NPI 1194468801

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 27, 2024

Registered at 26401 PACIFIC HWY S STE 101, DES MOINES, WA 981989247 (Tel: 4252771311)

📍
Updated Business Mailing Address December 27, 2024

Registered at 955 POWELL AVE SW, RENTON, WA 980572908 (Tel: 4252771311)

👤
Provider Name / Credentials Updated March 04, 2021

Recorded as MAMATHA CHENEPALLI, DMD

NPI Profile Active May 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2008

Registered at 22625 PACIFIC HWY S, DES MOINES, WA 981985110 (Tel: 2068785665)

📍
Updated Business Mailing Address May 20, 2008

Registered at 6768 193RD PL NE, REDMOND, WA 980520567 (Tel: 4255581618)

👤
Provider Name / Credentials Updated May 20, 2008

Recorded as MAMATHA CHENEPALLI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2008

Dentist (License #DE00009662 in WA)

🟢
Initial NPI Registration & Enumeration May 20, 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: 1225295009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2008
Last Update: December 27, 2024
Sole Proprietor: No

Mailing Address

955 Powell Ave Sw

Renton, WA 980572908

Phone: 4252771311

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.