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Shruthi Venugopalakrishnan

Dentist - General Practice β€’ Kent, WA

Active NPI 1154127710 Individual Practitioner Female Practitioner
Practice location in NPPES

25610 104th Ave Se
Kent, WA 980307610

Call 2069137272 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

25610 104th Ave Se

Kent, WA 980307610

Telephone 2069137272
Organization at the Same NPPES Address or Phone
Nurani, Mitchell, Kim, Pc Facility NPI 1053756049

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Seattle, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

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

2025

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

Compared with the same specialty in Kent and Washington

65 active clinicians are listed under Dentist - General Practice with a practice address in Kent, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kent

0% of these 65 clinicians have the CMS telehealth indicator.

0% of these 65 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: 2025-08-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DENT.DE.70007756

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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

Secondary Practice Locations

Uw Department Of Oral Surgery-1959 Ne Pacific Street, Box 357134

Seattle, WA 98195

Phone: 2069137272

Clinicians Sharing This Practice Address or Phone

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

5 listed
Dr. Tameem Anwar , DDS

Dentist - General Practice

NPI 1104999853

Doctor of Dental Surgery

Dr. Benjamin Dorantes , DDS

Dentist - General Practice

NPI 1144393893

Doctor of Dental Surgery

Thomas Faber

Dentist - Periodontics

NPI 1376607465
Dr. Julie Kim , DMD

Dentist - General Practice

NPI 1447636618

Doctor of Dental Medicine

Dr. Hosan Park , DDS

Dentist - Periodontics

NPI 1104363019

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location August 21, 2025

Registered at 25610 104TH AVE SE, KENT, WA 980307610 (Tel: 2069137272)

πŸ“
Updated Business Mailing Address August 21, 2025

Registered at 25610 104TH AVE SE, KENT, WA 980307610

βœ…
NPI Profile Active February 24, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 24, 2025

Registered at UW DEPARTMENT OF ORAL SURGERY-1959 NE PACIFIC STREET, BOX 357134, SEATTLE, WA 98195 (Tel: 2069137272)

πŸ“
Business Mailing Address (Initial Record) February 24, 2025

Registered at UW DEPARTMENT OF ORAL SURGERY, 1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195

πŸ‘€
Provider Name / Credentials (Initial Record) February 24, 2025

Recorded as SHRUTHI VENUGOPALAKRISHNAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 24, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154127710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2025
Last Update: August 21, 2025
Sole Proprietor: No

Other Dentist - General Practices in Kent

All Dentist - General Practices in Kent

Mailing Address

25610 104th Ave Se

Kent, WA 980307610

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.