DR. EDUARDO DAVID MONDRAGON M DDS
NPI 1114536653
Dentist in Des Moines, WA

Q: What is Eduardo Mondragon M's NPI number?

The NPI number for Eduardo Mondragon M is 1114536653. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Eduardo Mondragon M's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 30, 2020PECOS Enrolled

26401 PACIFIC HWY S STE 201, DES MOINES, WA 98198(260) 870-3600 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 3, 2025, Apr 11, 2024, Feb 9, 2024 and 3 more (6 updates tracked since 2020).

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About Dr. Eduardo David Mondragon M Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDUARDO DAVID MONDRAGON M DDS (NPI 1114536653) is an individual dentist in Des Moines, Washington, licensed in Washington (DE61085473) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Greeley.

NPPES Registry Identity

NPI1114536653

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. EDUARDO DAVID MONDRAGON MCredential: DDS

Location Address26401 PACIFIC HWY S STE 201Des Moines, WA 98198-9247

Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566

Phone(260) 870-3600

Sole ProprietorNo

Enumeration DateJuly 30, 2020

Last NPPES UpdateJanuary 23, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1114536653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61085473

Definition

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 204553 (CO)

26401 PACIFIC HWY S STE 201, Des Moines, WA 98198

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Secondary Practice Location 1

Location 11006 A SreetGreeley, CO 80631 · Phone (970) 352-0048 · Fax (970) 352-1120

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Best Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eduardo David Mondragon M Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Eduardo Mondragon M reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthpoint

Same address

Federally Qualified Health Center (FQHC)

26401 PACIFIC HWY S., SUITE 101
Des Moines, WA 98198

Reassigned Medicare billing, Washington enrollment
403 clinicians in this Medicare group

NPI 1922351527 (206) 870-3590

Sunrise Community Health

980 mi

Federally Qualified Health Center (FQHC)

201 W. 69TH COURT
Loveland, CO 80538

Reassigned Medicare billing, Colorado enrollment
40 clinicians in this Medicare group

NPI 1700690252 (970) 669-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98198 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINE NGUYEN DMD

Dentist