ADA SHIENA MANDAPAT
NPI 1972361608
Oral & Maxillofacial Surgery in Seattle, WA

Q: What is the provider's specialty?

The provider's specialty is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since March 07, 2024PECOS Enrolled

1959 NE PACIFIC ST, SEATTLE, WA 98195(202) 543-5860 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2024, Mar 7, 2024 (2 updates tracked since 2024).

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About Ada Shiena Mandapat NPPES

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

ADA SHIENA MANDAPAT (NPI 1972361608) is an individual oral & maxillofacial surgery provider in Seattle, Washington, licensed in Washington (DR61542286) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972361608

Entity TypeIndividualFemale

Primary Taxonomy204E00000X

Provider Legal NameADA SHIENA MANDAPAT

Location Address1959 NE PACIFIC STSeattle, WA 98195-0001

Mailing Address1959 Ne Pacific Street Box 357134Seattle, WA 98195-0001

Phone(202) 543-5860

Sole ProprietorNo

Enumeration DateMarch 7, 2024

Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1972361608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in WA · DR61542286

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1959 NE PACIFIC ST, Seattle, WA 98195

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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)

Ada Shiena Mandapat 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.