MANUEL JIMENEZ DDS
NPI 1144889353
Dentist in Othello, WA

Q: What is Manuel Jimenez's NPI number?

The NPI number for Manuel Jimenez is 1144889353. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Q: What is Manuel Jimenez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Manuel Jimenez was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2019PECOS Enrolled

1515 E COLUMBIA ST, OTHELLO, WA 99344(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2020, Jun 11, 2019 (2 updates tracked since 2019).

On this page

About Manuel Jimenez Dds NPPES

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

MANUEL JIMENEZ DDS (NPI 1144889353) is an individual dentist in Othello, Washington, licensed in Washington (DE60970761) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144889353

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMANUEL JIMENEZCredential: DDS

Location Address1515 E COLUMBIA STOthello, WA 99344-1846

Mailing Address1515 E Columbia StOthello, WA 99344-1846 · (509) 488-5256 · Fax (509) 488-9939

Phone(509) 488-5256

Fax(509) 488-9939

Sole ProprietorNo

Enumeration DateJune 11, 2019

Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration

✔ NPI 1144889353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60970761

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.

1515 E COLUMBIA ST, Othello, WA 99344

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1601 Government WayMattawa, WA 99349 · Phone (509) 488-5256 ext. 8512 · Fax (509) 488-9939

Location 21051 Columbia AveConnell, WA 99326-8702 · Phone (509) 488-5256 ext. 8512 · Fax (509) 488-9939

Other Identifiers 1

Medicaid2135278WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel Jimenez 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99344 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 20

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

LAURA ELY

Nurse Practitioner (Family)