Patrice Mary Yoder, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006507 Issued in WA

Practice address

669 Woodland Square Loop SE
Lacey, WA 98503-1038

Phone

(360) 359-4860

Fax

(360) 359-4861

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pyoder696398@direct.multicare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian P. Moody, DDS, PLLC

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1023329620
  NPD (past)
• Koutsoumbas & Lintakoon DDS PLLC

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1174975338
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1033233549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 WOODLAND SQUARE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031038",
            "telephone_number": "360-359-4860",
            "fax_number": "360-359-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "PATRICE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006507",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034448",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Renee Yearian
• Danielle K Yee, M.D.
• Yellow Cab Northwest Inc (South Sound Transportation)
• Consilia Samkia Yeluma
• Timoteo Dario Yepes, LICSW
• Alexander Jordan Yokel, BT
• Erik Martin Young-Brown, COTA
• Heather Marie Young, NC60001082
• Kassandra Young, MSSW
• Lorena Ann Young, LMT

• Dentist in Lacey, WA
• Providers in Lacey, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.