Veera Venkata M N M Yakkali, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61446085 Issued in WA

Practice address

17717 36TH Dr SE
Bothell, WA 98012-7570

Phone

(510) 556-7500

NPI assigned

Jul 13, 2023

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Madhuri Yakkali Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1174202667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17717 36TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127570",
            "telephone_number": "510-556-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17717 36TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127570",
            "telephone_number": "510-556-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKKALI",
        "first_name": "VEERA VENKATA M N M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61446085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHURI",
            "last_name": "YAKKALI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yu Hong Wu
• Cindy Wuflestad, MA
• Wynmar, Inc (Nurse Next Door, Puget Sound)
• Aidan Edward Wyrick
• Pamela Anne Wyss, LICSW, CEAP
• Stefanie K Hamamoto Yamaguchi, D.D.S.
• Julie Mariko Yamamoto, D.M.D, M.P.H
• Euna Woojin Yang
• Mai Yang, DPT
• Ruisheng Yang, LMP

• Dentist in Bothell, WA
• Providers in Bothell, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.