Donald Mineo Yamaoka, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40408 Issued in CA

Practice address

2101 South Avenue
South Lake Tahoe, CA 96150-7037

Phone

(530) 541-2994

Fax

(530) 541-4770

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1467526285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SOUTH AVENUE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507037",
            "telephone_number": "530-541-2994",
            "fax_number": "530-541-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SOUTH AVENUE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507037",
            "telephone_number": "530-541-2994",
            "fax_number": "530-541-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAOKA",
        "first_name": "DONALD",
        "middle_name": "MINEO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Wood
• Joan C. Worman
• George E Worth, D.C.
• Gina M Wyneken, LAC, LMP
• Rachel Yakar, OTR/L
• Kandra T Yee, MD
• David Ronald Young, M.D.
• Mehdi M Yousefi, PHARM.D.
• Kimyoeuth Yuon, PPS SCHOOL COUNSELOR
• David Frederick Zander, LCSW

• General Practice Dentistry in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.