Individual provider Active NPI

Elizabeth Yoshiye Takahashi, DMD

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1730602632
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61433840 Issued in WA
Practice address
11610 NE 119TH St
Vancouver, WA 98662-1616
Phone
(360) 597-7950
NPI assigned
Jul 23, 2017
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE61433840 WA Primary
General Practice Dentistry 1223G0001X 101466 CA

Addresses

Primary practice location

11610 NE 119TH St
Vancouver, WA 98662-1616

Mailing address

11610 NE 119TH St
Vancouver, WA 98662-1616
Phone (360) 597-7950

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
101466CAMDGeneral Practice Dentistry
DE61433840WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Corporation of Louis Z. Stromberg, DDS General Practice Past Accepting new patients
Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC General Practice PastSince Jan 15, 2023 Accepting new patients

Organizations & group practices 2

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": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1730602632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 NE 119TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621616",
            "telephone_number": "360-597-7950",
            "fax_number": "360-597-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 NE 119TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621616",
            "telephone_number": "360-597-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "ELIZABETH",
        "middle_name": "YOSHIYE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61433840",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.