Individual provider Active NPI

Richard Hajime Yamanaka, DDS

  • Endodontics
  • Napa, CA
National Provider Identifier
1639265291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D22570 Issued in CA
Practice address
3220 Beard Rd
Napa, CA 94558-3465
Phone
(707) 255-2301
Fax
(707) 255-3128
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D22570 CA Primary

Addresses

Primary practice location

3220 Beard Rd
Napa, CA 94558-3465

Mailing address

3220 Beard Rd
Napa, CA 94558-3465
Phone (707) 255-2301

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
D22570CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639265291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583465",
            "telephone_number": "707-255-2301",
            "fax_number": "707-255-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583465",
            "telephone_number": "707-255-2301",
            "fax_number": "707-255-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANAKA",
        "first_name": "RICHARD",
        "middle_name": "HAJIME",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "D22570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.