Gordon Yamaguchi DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GORDON YAMAGUCHI DDS PS

Practice address

108 22ND Ave SW
Ste 24
Olympia, WA 98501-2871

Phone

(360) 943-9480

Fax

(360) 943-9568

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gordon M Yamaguchi, DDSNPI 1164835872

Title

Dentist

Phone

(360) 943-9480

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gordon Yamaguchi, DDS

  • Dentist
  • Olympia, WA
  • NPI 1164835872
  NPD (past) Authorized official
• Garret Masaichi Yamaguchi, DDS

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1902056260
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1356405443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW",
            "address_2": "STE 24",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012871",
            "telephone_number": "360-943-9480",
            "fax_number": "360-943-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW",
            "address_2": "STE 24",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012871",
            "telephone_number": "360-943-9480",
            "fax_number": "360-943-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON YAMAGUCHI DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "YAMAGUCHI",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-943-9480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Goodnight, CCC-SLP
• Janine Goodwin, CMA
• Jennifer L Goodwin, MA, LMHC, CDP
• Ben Goold, MD
• Alicia A Gooley
• Alisha Nicole Gordon
• Erik Keith Gordon
• Erin Elise Gordon, AAC
• Hannah Rose Gore
• Kjersten Gore, LPN

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.