Individual provider Active NPI

Deepali Jere, BDS, MPH, MS

  • Prosthodontics
  • Seattle, WA
National Provider Identifier
1194957795
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE60289981 Issued in WA
Practice address
12333 35TH Ave NE
Seattle, WA 98125-5600
Phone
(206) 363-8800
Fax
(206) 363-4208
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DE60289981WAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jere & Krishna, PLLC Current Accepting new patients

Locations

12333 35th Ave NE
Seattle, WA 98125
Phone (206) 306-7000

19550 Aurora Ave N
Ste 200
Shoreline, WA 98133

19550 Aurora Ave N
Shoreline, WA 98133
Phone (206) 542-2196

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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.