Individual provider Active NPI

Swetha Deekshitulu Vempati, BDS, MS, DDS

  • Dentist
  • Lacey, WA
National Provider Identifier
1669219283
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61564398 Issued in WA
Practice address
1420 Marvin Rd NE Ste D
Lacey, WA 98516-3878
Phone
(360) 873-0132
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE61564398 WA
Dentist 122300000X DE61564398 WA Primary

Addresses

Primary practice location

1420 Marvin Rd NE Ste D
Lacey, WA 98516-3878

Mailing address

1420 Marvin Rd NE Ste D
Lacey, WA 98516-3878

Other practice location 1

10217 125th Street Ct E Fl 3
Puyallup, WA 98374-2761
Phone (253) 864-4760

Other identifiers 1

IdentifierTypeStateIssuer
2351322MedicaidWA

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
DE61564398WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: svempati858798@direct.multicare.org

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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1669219283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MARVIN RD NE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MARVIN RD NE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163878",
            "telephone_number": "360-873-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10217 125th Street Ct E Fl 3",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742761",
            "country_code": "US",
            "telephone_number": "253-864-4760",
            "fax_number": "253-864-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEMPATI",
        "first_name": "SWETHA",
        "middle_name": "DEEKSHITULU",
        "name_prefix": "Dr.",
        "credential": "BDS, MS, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61564398",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61564398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351322",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.