Active NPI
Trisha Yamamoto, D.C.
- Chiropractor
- Centreville, VA
National Provider Identifier
1265829808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557371
- Practice address
- 14215 E. Centreville Square
Centreville, VA 20121 - Phone
- (703) 222-3737
- Fax
- (703) 449-9346
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 60548645 | WA | |
| Chiropractor | 111N00000X | 0104557371 | VA | Primary |
Addresses
Primary practice location
14215 E. Centreville Square
Centreville, VA 20121
Mailing address
14215 E. Centreville Square
Centreville, VA 20121
Phone (703) 222-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557371 | VA | MD | Chiropractor |
| CH 60548645 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1265829808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14215 E. CENTREVILLE SQUARE",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "20121",
"telephone_number": "703-222-3737",
"fax_number": "703-449-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14215 E. CENTREVILLE SQUARE",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "20121",
"telephone_number": "703-222-3737",
"fax_number": "703-449-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "TRISHA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60548645",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.