Individual provider Active NPI

Yuka Tanabe Yamagishi, DDS, MS

  • Pediatric Dentistry
  • Rockville, MD
National Provider Identifier
1659643021
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
13011 Issued in MD
Practice address
6001 Montrose Rd Ste 100
Rockville, MD 20852-4872
Phone
(240) 669-8647
Fax
(240) 669-8453
NPI assigned
Feb 1, 2012
Last updated
Nov 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 13011 MD Primary

Addresses

Primary practice location

6001 Montrose Rd Ste 100
Rockville, MD 20852-4872

Mailing address

6001 Montrose Rd Ste 100
Rockville, MD 20852-4872
Phone (240) 669-8647

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13011MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dentistry at North Bethesda Pediatric Dentistry CurrentSince Jun 28, 2020 Accepting new patients

Locations

6001 Montrose Rd
Ste 100
Rockville, MD 20852
Phone (240) 669-8647

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1659643021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524872",
            "telephone_number": "240-669-8647",
            "fax_number": "240-669-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524872",
            "telephone_number": "240-669-8647",
            "fax_number": "240-669-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANABE YAMAGISHI",
        "first_name": "YUKA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "13011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.