NPIMap

Organization Active NPI

Brandon Tomi Yamamura DDS, MSD, PLLC

Doing business as Kent Endodontic Specialists

  • Dental Clinic/Center
  • Kent, WA
National Provider Identifier
1558780585
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60205619 Issued in WA
Legal business name
BRANDON TOMI YAMAMURA DDS, MSD, PLLC
Doing business as
Kent Endodontic Specialists
Practice address
221 2ND Ave S Ste 101
Kent, WA 98032-5873
Phone
(253) 854-2057
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dr. Brandon Yamamura, DDS, MSDNPI 1467741322
Title
Owner
Phone
(425) 765-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60205619 WA Primary

Addresses

Primary practice location

221 2ND Ave S Ste 101
Kent, WA 98032-5873

Mailing address

221 2ND Ave S Ste 101
Kent, WA 98032-5873
Phone (253) 854-2057

Other names 1

  • Kent Endodontic Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

221 2nd Ave S
Ste 101
Kent, WA 98032
Phone (253) 854-2057

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1558780585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 2ND AVE S STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325873",
            "telephone_number": "253-854-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 2ND AVE S STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325873",
            "telephone_number": "253-854-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON TOMI YAMAMURA DDS, MSD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "YAMAMURA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-765-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60205619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Endodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.