Active NPI
Deepali Jere, BDS, MPH, MS
- Prosthodontics
- Seattle, WA
National Provider Identifier
1194957795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DE60289981
- Practice address
- 12333 35TH Ave NE
Seattle, WA 98125-5600 - Phone
- (206) 363-8800
- Fax
- (206) 363-4208
- NPI assigned
- Aug 14, 2009
- Last updated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DE60289981 | WA | Primary |
Addresses
Primary practice location
12333 35TH Ave NE
Seattle, WA 98125-5600
Mailing address
12333 35TH Ave NE
Seattle, WA 98125-5600
Phone (206) 363-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60289981 | WA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jere & Krishna, PLLC | Current | Accepting new patients |
Locations
12333 35th Ave NE
Seattle, WA 98125
Phone (206) 306-7000
19550 Aurora Ave N
Shoreline, WA 98133
Phone (206) 542-2196
19550 Aurora Ave N
Ste 200
Shoreline, WA 98133
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1194957795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12333 35TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255600",
"telephone_number": "206-363-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12333 35TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255600",
"telephone_number": "206-363-8800",
"fax_number": "206-363-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERE",
"first_name": "DEEPALI",
"credential": "BDS, MPH, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WA",
"license": "DE60289981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.