Active NPI
Ecologic Dentistry PLLC
- Dentist
- Bonney Lake, WA
National Provider Identifier
1730192618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00008675
- Legal business name
- ECOLOGIC DENTISTRY PLLC
- Practice address
- 18008 State Route 410 E Ste a
Bonney Lake, WA 98391-7113 - Phone
- (253) 863-7005
- Fax
- (253) 863-6004
- NPI assigned
- Aug 14, 2006
- Last updated
- Jun 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carla A Yamashiro, DDS
- Title
- Owner
- Phone
- (253) 863-7005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00008675 | WA | Primary |
Addresses
Primary practice location
18008 State Route 410 E Ste a
Bonney Lake, WA 98391-7113
Mailing address
18008 State Route 410 E Ste a
Bonney Lake, WA 98391-7113
Phone (253) 863-7005
National Provider Directory
National Provider DirectoryLocations
18008 State Route 410 E
Ste A
Bonney Lake, WA 98391
Phone (253) 863-7005
8412 Myers Rd E
Ste 301
Bonney Lake, WA 98391
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Bonney Lake, WA
- NPI 1174903298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1730192618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18008 STATE ROUTE 410 E STE A",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917113",
"telephone_number": "253-863-7005",
"fax_number": "253-863-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18008 STATE ROUTE 410 E STE A",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917113",
"telephone_number": "253-863-7005",
"fax_number": "253-863-6004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECOLOGIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "YAMASHIRO",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-863-7005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00008675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.