Ernest Mori Yamane, DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00005113 Issued in WA

Practice address

1292 S Market Blvd
Chehalis, WA 98532-3645

Phone

(360) 748-8603

NPI assigned

Jun 22, 2015

Sex

Male

Sole proprietor

No

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 WA

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

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1609258029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 ORANGE ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013654",
            "telephone_number": "360-943-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323645",
            "telephone_number": "360-748-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANE",
        "first_name": "ERNEST",
        "middle_name": "MORI",
        "credential": "DDS PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wooten Jr., D.O.
• Brian David Worden, LMP
• Elizabeth Wright
• Joly Wu, PA-C
• Linda Wulf
• Nataliya Zagorodnyaya, LMT
• Craig Zahn, BA, CDP
• Barbara Dee Zan-Stanfield, MA,LMHC,NCC
• Sandra L Zion, MA LMHC
• Tiffany Mae Zuber, RN

• General Practice Dentistry in Chehalis, WA
• Providers in Chehalis, 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 22, 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.