Eduardo Mondragon M, DDS
NPI 1114536653 · Dentist · Des Moines, WA
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eduardo Mondragon M, DDS is a Dentist provider in Des Moines, WA (NPI 1114536653).
Provider details
- NPI number
- 1114536653
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 204553 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1006 a SreetGreeley, CO 80631Phone: (970) 352-0048Fax: (970) 352-1120
Registry dates
- Enumerated
- 2020-07-30
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Frequently asked questions
- What is Eduardo Mondragon M's NPI number?
- Eduardo Mondragon M's National Provider Identifier (NPI) is 1114536653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eduardo Mondragon M's specialty?
- Eduardo Mondragon M is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Eduardo Mondragon M located?
- Eduardo Mondragon M's practice location on file with NPPES is 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198-9247.
- What is Eduardo Mondragon M's phone number?
- The practice phone number listed in the NPPES registry for Eduardo Mondragon M is (260) 870-3600.
- Does Eduardo Mondragon M accept Medicare?
- Eduardo Mondragon M is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eduardo Mondragon M's NPI active?
- Yes — Eduardo Mondragon M's NPI (1114536653) is active in the NPPES registry as of the last update on 2025-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.