Active NPI
Sneha Yerra
- Dentist
- Edmonds, WA
National Provider Identifier
1659800993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60945488
- Practice address
- 9529 244TH St SW
Edmonds, WA 98020-6527 - Phone
- (206) 542-7557
- NPI assigned
- Jun 9, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10697 | NC | |
| Dentist | 122300000X | 60945488 | WA | Primary |
Addresses
Primary practice location
9529 244TH St SW
Edmonds, WA 98020-6527
Mailing address
120 Westlake Ave N Apt 301
Seattle, WA 98109-5243
Other practice location 1
523 Nc Highway 125
Roanoke Rapids, NC 27870-6447
Phone (252) 533-9300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60945488 | WA | MD | Dentist |
| 10697 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sneha Yerra DMD PLLC | Dentist | Current | Accepting new patients |
| James D. Haberman, Jr. DDS, PLLC | Current | Accepting new patients | |
| Brian L Maynor D.D.S., PLLC | Past | Accepting new patients |
Locations
9529 244th St SW
Edmonds, WA 98020
Phone (206) 542-7557
Organizations & group practices 3
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.
-
- Dentist
- Woodinville, WA
- NPI 1184353567
-
- General Practice Dentistry
- Edmonds, WA
- NPI 1235777400
-
- General Practice Dentistry
- Roanoke Rapids, NC
- NPI 1194212456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1659800993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WESTLAKE AVE N APT 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9529 244TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980206527",
"telephone_number": "206-542-7557"
}
],
"practiceLocations": [
{
"address_1": "523 Nc Highway 125",
"address_purpose": "LOCATION",
"city": "Roanoke Rapids",
"state": "NC",
"postal_code": "278706447",
"country_code": "US",
"telephone_number": "252-533-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YERRA",
"first_name": "SNEHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10697",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "60945488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.