MAMATHA CHENEPALLI DMD
NPI 1225295009
Dentist in Des Moines, WA

Q: What is Mamatha Chenepalli's NPI number?

The NPI number for Mamatha Chenepalli is 1225295009. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Mamatha Chenepalli's specialty?

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

Active since May 20, 2008PECOS Enrolled

26401 PACIFIC HWY S STE 101, DES MOINES, WA 98198(425) 277-1311 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2024, Mar 24, 2021, Mar 4, 2021 (3 updates tracked since 2021).

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About Mamatha Chenepalli Dmd NPPES

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

MAMATHA CHENEPALLI DMD (NPI 1225295009) is an individual dentist in Des Moines, Washington, licensed in Washington (DE00009662) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225295009

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMAMATHA CHENEPALLICredential: DMD

Location Address26401 PACIFIC HWY S STE 101Des Moines, WA 98198-9247

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

Phone(425) 277-1311

Sole ProprietorNo

Enumeration DateMay 20, 2008

Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration

NPPES CertifiedDecember 27, 2024

✔ NPI 1225295009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE00009662

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.

26401 PACIFIC HWY S STE 101, Des Moines, WA 98198

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Mamatha Chenepalli Dmd 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 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 20

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

DR. KENDALL C SHIBUYA DO

Family Medicine