Individual provider Active NPI

Yasuo Mori, L.M.P.

  • Specialist
  • Seattle, WA
National Provider Identifier
1457688608
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00000481 Issued in WA
Practice address
900 Madison St
Seattle, WA 98104-1234
Phone
(206) 464-0782
Fax
(206) 343-6155
NPI assigned
Nov 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00000481 WA Primary

Addresses

Primary practice location

900 Madison St
Seattle, WA 98104-1234

Mailing address

900 Madison St
Seattle, WA 98104-1234
Phone (206) 464-0782

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00000481WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1457688608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041234",
            "telephone_number": "206-464-0782",
            "fax_number": "206-343-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041234",
            "telephone_number": "206-464-0782",
            "fax_number": "206-343-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORI",
        "first_name": "YASUO",
        "name_prefix": "Mr.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00000481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.