Peter Mori Yamamura, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60573238 Issued in WA

Practice address

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

Phone

(253) 854-2057

NPI assigned

Jul 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Brandon Tomi Yamamura DDS, MSD, PLLC

  • Dental Clinic/Center
  • Kent, WA
  • NPI 1558780585
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700260551",
    "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": {
        "last_name": "YAMAMURA",
        "first_name": "PETER",
        "middle_name": "MORI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60573238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verona Xhixhi, PHARM.D
• Yanique Ricie Nana Yakam Azah, ARNP
• Alla Yakobchuk, LMT
• Lyubov A. Yakubets, LMP
• Brandon Tomi Yamamura, D.D.S., M.S.D.
• Audrey M. Yan, RN, L.M.P., IBCLC
• Donovan Yan, DMD
• Chu Hsuan Yang, OT
• Leo Yang, PHARMD
• Tchido Yao, NP

• Endodontics in Kent, WA
• Providers in Kent, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.