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Mandeep Kaur

Dentist β€’ Chehalis, WA

Active NPI 1780268755 Individual Practitioner Female Practitioner
Practice location in NPPES

2690 Ne Kresky Ave
Chehalis, WA 985322412

Call 3603309595 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2690 Ne Kresky Ave

Chehalis, WA 985322412

Telephone 3603309595
Fax 3603309530
Organization at the Same NPPES Address or Phone
Lewis County Community Health Services Facility NPI 1134164692

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mandeep Kaur has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mandeep Kaur as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chehalis and Washington

20 active clinicians are listed under Dentist with a practice address in Chehalis, WA (2,768 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chehalis

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-22
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA DE61087111

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2178769 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20210531000003

Enrollment State Jurisdiction

WA

PECOS Control ID

2163821844

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

30 listed
Britney Allison

Nurse Practitioner - Family

NPI 1568116796
David Caulfield , ARNP

Nurse Practitioner - Family

NPI 1851446553

Advanced Registered Nurse Practitioner

NPI 1740696004

Doctor of Dental Medicine

Sarah Emmett , FNP

Nurse Practitioner - Family

NPI 1700410214

Family Nurse Practitioner

Stephen Fischer , PA-C

Physician Assistant

NPI 1083723746

Physician Assistant (Certified)

NPI 1265768527

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 22, 2025

Registered at 2690 NE KRESKY AVE, CHEHALIS, WA 985322412 (Tel: 3603309595)

πŸ“
Updated Business Mailing Address January 22, 2025

Registered at 2690 NE KRESKY AVE, CHEHALIS, WA 985322412 (Tel: 3603309595)

πŸ“
Updated Business Mailing Address May 25, 2021

Registered at 6351 W RIO GRANDE AVE, KENNEWICK, WA 993367634 (Tel: 5095795830)

πŸ‘€
Provider Name / Credentials Updated May 25, 2021

Recorded as MANDEEP KAUR

βœ…
NPI Profile Active May 06, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 06, 2021

Registered at 6351 W RIO GRANDE AVE, KENNEWICK, WA 993367634 (Tel: 5095439280)

πŸ“
Business Mailing Address (Initial Record) May 06, 2021

Registered at 15514 32ND AVE NE, SHORELINE, WA 981556531

πŸ‘€
Provider Name / Credentials (Initial Record) May 06, 2021

Recorded as MANDEEP KAUR, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

Dentist (license number reported to NPPES: WA DE61087111)

🟒
Initial NPI Registration & Enumeration May 06, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780268755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2021
Last Update: January 22, 2025
Sole Proprietor: No

Other Dentists in Chehalis

Mailing Address

2690 Ne Kresky Ave

Chehalis, WA 985322412

Phone: 3603309595

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.