Individual provider Active NPI

Beth Yamashiro, D.D.S, M.B.A

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1144581703
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-238 Issued in NV
Practice address
9480 S Eastern Ave Ste 145
Las Vegas, NV 89123-8028
Phone
(702) 706-2468
Fax
(866) 770-2875
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61134 CA
Dentist 122300000X 5982 NV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X S3-238 NV Primary

Addresses

Primary practice location

9480 S Eastern Ave Ste 145
Las Vegas, NV 89123-8028

Mailing address

9480 S Eastern Ave Ste 145
Las Vegas, NV 89123-8028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000792 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981906823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
5982NVMDDentist
S3-238NVMDOrthodontics and Dentofacial Orthopedic Dentist
61134CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Yamashiro DDS Mba, PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Beth Yamashiro DDS Mba, PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1144581703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 S EASTERN AVE STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 S EASTERN AVE STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238028",
            "telephone_number": "702-706-2468",
            "fax_number": "866-770-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASHIRO",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.B.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61134",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5982",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.