AMANDA MICHELLE CORDERO DMD
NPI 1740696004
Dentist in Chehalis, WA

Q: What is Amanda Cordero's NPI number?

The NPI number for Amanda Cordero is 1740696004. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Q: What is Amanda Cordero'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 Amanda Cordero was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 08, 2014PECOS Enrolled

2690 NE KRESKY AVE, CHEHALIS, WA 98532(360) 330-9595(360) 330-9580 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2016, Feb 18, 2016 (2 updates tracked since 2016).

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About Amanda Michelle Cordero Dmd NPPES

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

AMANDA MICHELLE CORDERO DMD (NPI 1740696004) is an individual dentist in Chehalis, Washington, licensed in Washington (DE60604991) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740696004

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameAMANDA MICHELLE CORDEROCredential: DMD

Location Address2690 NE KRESKY AVEChehalis, WA 98532-2412

Mailing Address2690 Ne Kresky AveChehalis, WA 98532-2412 · (360) 330-9595 · Fax (360) 330-9560

Phone(360) 330-9595

Fax(360) 330-9580

Sole ProprietorNo

Enumeration DateJuly 8, 2014

Last NPPES UpdateOctober 20, 20162 updates tracked since enumeration

✔ NPI 1740696004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60604991

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.

2690 NE KRESKY AVE, Chehalis, WA 98532

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Other Identifiers 1

Medicaid2053768WA

Accepted Insurance

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

Amanda Michelle Cordero 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 98532 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.

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