Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Sampada Jayant Deshpande , DDS

Dentist - General Practice β€’ Tacoma, WA

Active NPI 1477032035 Individual Practitioner Female Practitioner
Practice location in NPPES

4811 Wa Tau Ga Ave Ne
Tacoma, WA 984221799

Call 2539279883 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

4811 Wa Tau Ga Ave Ne

Tacoma, WA 984221799

Telephone 2539279883
Fax 2539252153

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2023

All general payments: $88.30 across 2 records.

By nature of payment

  • Food and Beverage: $88.30 across 2 records.

Reporting-company totals

  • Sonendo Inc: $69.79 across 1 record.
  • Dentsply Sirona Inc: $18.51 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

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)

Dr. Deshpande 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 Dr. Deshpande 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 Tacoma and Washington

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tacoma

0% of these 139 clinicians have the CMS telehealth indicator.

0% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $88.30.

Manufacturer Payment Nature Product Type Amount ($)
Sonendo Inc
Food and Beverage
Cash or cash equivalent
GentleWave G4 Console General $69.79
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
WaveOne Gold Conform Fit General $18.51

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA 60861386

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 103061

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.

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

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

I20181105002611

Enrollment State Jurisdiction

CA

PECOS Control ID

5092068239

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.

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location May 27, 2020

Registered at 4811 WA TAU GA AVE NE, TACOMA, WA 984221799 (Tel: 2539279883)

πŸ“
Updated Business Mailing Address May 27, 2020

Registered at 2014 MILDRED ST W, UNIVERSITY PLACE, WA 984666134 (Tel: 2535660900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2020

Dentist (license number reported to NPPES: WA 60861386)

πŸ“
Updated Practice Location February 05, 2019

Registered at 5605 LAKEWOOD TOWNE CENTER BLVD SW STE B, LAKEWOOD, WA 98499 (Tel: 2532004706)

πŸ“
Updated Business Mailing Address February 05, 2019

Registered at 5605 LAKEWOOD TOWNE CENTER BLVD SW STE B, LAKEWOOD, WA 984993855 (Tel: 2532004706)

πŸ“
Updated Business Mailing Address September 19, 2018

Registered at 2103 MCHENRY AVE STE C, MODESTO, CA 953503264 (Tel: 2094359550)

βœ…
NPI Profile Active August 14, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 14, 2018

Registered at 2103 MCHENRY AVE STE C, MODESTO, CA 953503264 (Tel: 2094359550)

πŸ“
Business Mailing Address (Initial Record) August 14, 2018

Registered at 3595 GRANADA AVE UNIT 149, SANTA CLARA, CA 950513482 (Tel: 6504950795)

πŸ‘€
Provider Name / Credentials (Initial Record) August 14, 2018

Recorded as SAMPADA DESHPANDE, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Dentist (license number reported to NPPES: CA 103061)

🟒
Initial NPI Registration & Enumeration August 14, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1477032035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2018
Last Update: May 27, 2020
Sole Proprietor: Yes

Other Dentist - General Practices in Tacoma

All Dentist - General Practices in Tacoma

Mailing Address

2014 Mildred St W

University Place, WA 984666134

Phone: 2535660900

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.