Organization Active NPI

Chandrashekhar PLLC

  • Orofacial Pain Dentistry
  • Seattle, WA
National Provider Identifier
1649165572
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
CHANDRASHEKHAR PLLC
Doing business as
Advanced TMJ Maxillofacial Pain & Sleep
Practice address
509 Olive Way Ste 618
Seattle, WA 98101-1761
Phone
(206) 880-0119
Fax
(888) 830-6339
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Hemamalini ChandrashekharNPI 1568020352
Title
Owner
Phone
(206) 880-0119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

509 Olive Way Ste 618
Seattle, WA 98101-1761

Mailing address

509 Olive Way Ste 618
Seattle, WA 98101-1761
Phone (206) 880-0119

Other names 1

  • Advanced TMJ Maxillofacial Pain & Sleep Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250731002560 WA Part B Supplier - Clinic/Group Practice 4183132269 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA
O20251107000465 WA DME Supplier - Oral Surgery - Dentist 4183132269 Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

509 Olive Way
Ste 618
Seattle, WA 98101
Phone (206) 622-0246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1649165572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 618",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011761",
            "telephone_number": "206-880-0119",
            "fax_number": "888-830-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 618",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011761",
            "telephone_number": "206-880-0119",
            "fax_number": "888-830-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRASHEKHAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "CHANDRASHEKHAR",
        "authorized_official_first_name": "HEMAMALINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-880-0119"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced TMJ Maxillofacial Pain & Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.