Active NPI
Teresita H Mandapat, DDS
- Dentist
- Sumner, WA
National Provider Identifier
1669593240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6430
- Practice address
- 1006 Fryar Ave Ste a
Sumner, WA 98390-1501 - Phone
- (253) 863-8138
- Fax
- (253) 863-4930
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6430 | WA | Primary |
Addresses
Primary practice location
1006 Fryar Ave Ste a
Sumner, WA 98390-1501
Mailing address
1006 Fryar Ave Ste a
Sumner, WA 98390-1501
Phone (253) 863-8138
Other names 1
- Mrs. Teresita H Harm
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 |
|---|---|---|---|
| 6430 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669593240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 FRYAR AVE STE A",
"city": "SUMNER",
"state": "WA",
"postal_code": "983901501",
"telephone_number": "253-863-8138",
"fax_number": "253-863-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 FRYAR AVE STE A",
"city": "SUMNER",
"state": "WA",
"postal_code": "983901501",
"telephone_number": "253-863-8138",
"fax_number": "253-863-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDAPAT",
"first_name": "TERESITA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "6430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESITA",
"last_name": "HARM",
"middle_name": "H",
"prefix": "MRS.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.