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JOSE MENDOZA
NPI 1366970048
Dentist - General Practice in Pasco, WA

Active since May 25, 2017PECOS Enrolled
8921 SANDIFUR PKWY STE 102, PASCO, WA 99301(509) 302-2663(509) 302-2462 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, May 16, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Jose Mendoza NPPES

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

JOSE MENDOZA (NPI 1366970048) is an individual general practice provider in Pasco, Washington, licensed in Washington (DE60772766) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1366970048
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOSE MENDOZA
Location Address8921 SANDIFUR PKWY STE 102Pasco, WA 99301-9596
Mailing Address8921 Sandifur PkwyPasco, WA 99301-9596 · (509) 302-2663 · Fax (509) 302-2462
Phone(509) 302-2663
Fax(509) 302-2462
Sole ProprietorNo
Enumeration DateMay 25, 2017
Last NPPES UpdateJuly 26, 20235 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1366970048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE60772766
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8921 SANDIFUR PKWY STE 102, Pasco, WA 99301
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11515 E Columbia StOthello, WA 99344-1846 · Phone (509) 488-5256 · Fax (509) 488-9939
Location 2601 Government RdMattawa, WA 99349-5120 · Phone (509) 488-5256 · Fax (509) 488-9939
Location 312 S 8t hStYakima, WA 98901 · Phone (509) 454-4143
Location 41051 Columbia AveConnell, WA 99326-8702 · Phone (509) 488-5256

Other Identifiers 1

OtherDE60772766WA · Dept. Of Health. Washington State

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)

Jose Mendoza 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 99301 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 3

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

JOSE MENDOZA PROFESSIONAL SERVICES
Clinic/Center (Dental)
8921 SANDIFUR PKWY STE 102
PASCO, WA 99301
Franklin County (509) 302-2663
MONARCH SLEEP SOLUTIONS LLC
Durable Medical Equipment & Medical Supplies
8921 SANDIFUR PKWY STE 102
PASCO, WA 99301
Franklin County (509) 302-2663
DR. ALINA ROXANA DAVIDSON D.D.S.
Dentist
8921 SANDIFUR PKWY STE 102
PASCO, WA 99301
Franklin County (509) 204-7580

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 Jose Mendoza's NPI number?

The NPI number for Jose Mendoza is 1366970048. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Jose Mendoza located?

Jose Mendoza practices at 8921 Sandifur Pkwy Ste 102, Pasco, WA 99301. The listed phone number is (509) 302-2663.

What is Jose Mendoza's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jose Mendoza enrolled in Medicare?

Yes. Jose Mendoza is registered in the Medicare PECOS enrollment system.

What insurance does Jose Mendoza 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 7 other insurers list Jose Mendoza 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 Jose Mendoza was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.