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PRASIDA MANDAPATI DDS
NPI 1295405025
Dentist in Puyallup, WA

Active since September 14, 2021PECOS Enrolled
16810 MERIDIAN AVE E STE J107, PUYALLUP, WA 98375(253) 848-7777 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2023, Feb 2, 2022, Sep 14, 2021 (3 updates tracked since 2021).

About Prasida Mandapati Dds NPPES

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

PRASIDA MANDAPATI DDS (NPI 1295405025) is an individual dentist in Puyallup, Washington, licensed in Washington (DE61387262) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295405025
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NamePRASIDA MANDAPATICredential: DDS
Location Address16810 MERIDIAN AVE E STE J107Puyallup, WA 98375
Mailing Address25615 Ellis Ridge CtKaty, TX 77494-6046 · (281) 450-6353
Phone(253) 848-7777
Sole ProprietorNo
Enumeration DateSeptember 14, 2021
Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1295405025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WA · DE61387262✔ Licensed in TX · 37815
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.
16810 MERIDIAN AVE E STE J107, Puyallup, WA 98375
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Other Identifiers 1

Medicaid37815TX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prasida Mandapati 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 98375 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prasida Mandapati's NPI number?

The NPI number for Prasida Mandapati is 1295405025. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Prasida Mandapati located?

Prasida Mandapati practices at 16810 Meridian Ave E Ste J107, Puyallup, WA 98375. The listed phone number is (253) 848-7777.

What is Prasida Mandapati's specialty?

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

Is Prasida Mandapati enrolled in Medicare?

Yes. Prasida Mandapati is registered in the Medicare PECOS enrollment system.

What insurance does Prasida Mandapati accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Prasida Mandapati as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prasida Mandapati was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.