Organization Active NPI

Ecologic Dentistry PLLC

  • Dentist
  • Bonney Lake, WA
National Provider Identifier
1730192618
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008675 Issued in WA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.