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
- 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
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.
-
- Dental Clinic/Center
- Seattle, WA
- NPI 1710335419
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.