Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366970048 Individual Practitioner Male Practitioner

Jose Mendoza

Dentist - General Practice • Pasco, WA

Professional Overview & Biography Verified Profile Summary

Jose Mendoza is a registered healthcare professional specializing in Dentist - General Practice in Pasco, WA. Practice services are available at 8921 SANDIFUR PKWY STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8921 Sandifur Pkwy Ste 102

Pasco, WA 993019596

Telephone 5093022663
Fax 5093022462
Associated Practice Facility / Clinic
🏢 Monarch Sleep Solutions Llc Facility NPI 1790466555

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pasco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Pasco, 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: 2023-07-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60772766

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dept. Of Health. Washington State
DE60772766 (WA)

Secondary Practice Locations

1515 E Columbia St

Othello, WA 993441846

Phone: 5094885256

601 Government Rd

Mattawa, WA 993495120

Phone: 5094885256

12 S 8t Hst

Yakima, WA 98901

Phone: 5094544143

1051 Columbia Ave

Connell, WA 993268702

Phone: 5094885256

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1992038715

Doctor of Dental Surgery

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location July 26, 2023

Registered at 8921 SANDIFUR PKWY STE 102, PASCO, WA 993019596 (Tel: 5093022663)

📍
Updated Business Mailing Address July 26, 2023

Registered at 8921 SANDIFUR PKWY, PASCO, WA 993019596 (Tel: 5093022663)

📍
Updated Business Mailing Address May 16, 2023

Registered at 1515 E COLUMBIA ST, OTHELLO, WA 993441846 (Tel: 5094885256)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2023

Dentist (License #DE60772766 in WA)

NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2017

Registered at 12 S 8T HST, YAKIMA, WA 98901 (Tel: 5094544143)

📍
Updated Business Mailing Address August 02, 2017

Registered at 12 S 8TH ST, YAKIMA, WA 989013020 (Tel: (509) 454-4143)

👤
Provider Name / Credentials Updated August 02, 2017

Recorded as JOSE MENDOZA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Dentist (License #DE60772766 in WA)

NPI Profile Active May 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2017

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981950001 (Tel: 2066166996)

📍
Updated Business Mailing Address May 25, 2017

Registered at 2602 W NIXON ST, PASCO, WA 993012980 (Tel: 5092050655)

👤
Provider Name / Credentials Updated May 25, 2017

Recorded as JOSE MENDOZA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 25, 2017

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: 1366970048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2017
Last Update: July 26, 2023
Sole Proprietor: No

Mailing Address

8921 Sandifur Pkwy

Pasco, WA 993019596

Phone: 5093022663

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.