DR. DEEPTHI NAMBALA BDS
NPI 1346061884
Dentist in Minneapolis, MN

Q: What is Deepthi Nambala's NPI number?

The NPI number for Deepthi Nambala is 1346061884. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Q: What is Deepthi Nambala'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 Deepthi Nambala was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 October 17, 2024PECOS Enrolled

SPECIAL HEALTHCARE NEEDS DENTAL CLINIC, MALCOLM HEALTH SCIENCES MOOS TOWER, 515 DELAWARE ST. SE, MINNEAPOLIS, MN 55455(612) 625-4777(612) 625-0613 Get Directions Write a Review

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

On this page

About Dr. Deepthi Nambala Bds NPPES

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

DR. DEEPTHI NAMBALA BDS (NPI 1346061884) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (R890) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346061884

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. DEEPTHI NAMBALACredential: BDS

Location AddressSPECIAL HEALTHCARE NEEDS DENTAL CLINIC, MALCOLM HEALTH SCIENCES MOOS TOWER, 515 DELAWARE ST. SEMinneapolis, MN 55455

Mailing Address19839 Iris WayLakeville, MN 55044-3547 · (425) 351-0826

Phone(612) 625-4777

Fax(612) 625-0613

Sole ProprietorYes

Enumeration DateOctober 17, 2024

Last NPPES UpdateOctober 27, 2024

NPPES CertifiedOctober 27, 2024

✔ NPI 1346061884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · R890

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.

SPECIAL HEALTHCARE NEEDS DENTAL CLINIC, Minneapolis, MN 55455

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deepthi Nambala Bds 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 55455 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 Deepthi Nambala's NPI number?

The NPI number for Deepthi Nambala is 1346061884. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Deepthi Nambala located?

Deepthi Nambala practices at Special Healthcare Needs Dental Clinic Malcolm Health Sciences Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455. The listed phone number is (612) 625-4777.

What is Deepthi Nambala's specialty?

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

Is Deepthi Nambala enrolled in Medicare?

Yes. Deepthi Nambala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deepthi Nambala was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.