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Active NPI 1295405025 Individual Practitioner Female Practitioner

Dr. Prasida Mandapati , DDS

Dentist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Prasida Mandapati, DDS is a registered healthcare professional specializing in Dentist in Puyallup, WA. Practice services are available at 16810 MERIDIAN AVE E STE J107 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16810 Meridian Ave E Ste J107

Puyallup, WA 98375

Telephone 2538487777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
73 Specialists

Practicing in Puyallup, 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: 2023-03-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE61387262

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 37815

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
37815 (TX)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Philip Kaiser , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1013174168

Doctor of Dental Surgery

NPI 1033890835

Doctor of Dental Medicine

Dr. Julio Chinchilla , DDS

Dentist - Endodontics

NPI 1043466378

Doctor of Dental Surgery

Dr. Kristina Merriman , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1154423259

Doctor of Dental Surgery

NPI 1497177042

Doctor of Dental Surgery

NPI 1497231526

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location March 09, 2023

Registered at 16810 MERIDIAN AVE E STE J107, PUYALLUP, WA 98375 (Tel: 2538487777)

NPI Profile Active September 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2021

Registered at JEFFERSON DENTAL AND ORTHODONTICS, 2301 FULTON ST, HOUSTON, TX 77009 (Tel: 8324870040)

📍
Updated Business Mailing Address September 14, 2021

Registered at 25615 ELLIS RIDGE CT, KATY, TX 774946046 (Tel: 2814506353)

👤
Provider Name / Credentials Updated September 14, 2021

Recorded as PRASIDA MANDAPATI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Dentist (License #37815 in TX)

🟢
Initial NPI Registration & Enumeration September 14, 2021

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: 1295405025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2021
Last Update: March 09, 2023
Sole Proprietor: No

Mailing Address

25615 Ellis Ridge Ct

Katy, TX 774946046

Phone: 2814506353

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.