NPIMap

Organization Active NPI

Jan Yamashiro D.D.S., M.S.D., Professional LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boulder, CO
National Provider Identifier
1992071898
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DT-10342 Issued in CO
Legal business name
JAN YAMASHIRO D.D.S., M.S.D., PROFESSIONAL LLC
Practice address
1717 Folsom St
Boulder, CO 80302-6718
Phone
(303) 443-3774
Fax
(303) 442-6651
NPI assigned
Mar 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Jan Yamashiro, DDS, MSDNPI 1225303381
Title
Member
Phone
(303) 443-3774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DT-10342 CO Primary

Addresses

Primary practice location

1717 Folsom St
Boulder, CO 80302-6718

Mailing address

1717 Folsom St
Boulder, CO 80302-6718
Phone (303) 443-3774

Other names 1

  • Yamashiro Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1717 Folsom St
Boulder, CO 80302
Phone (303) 443-3774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1992071898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 FOLSOM ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026718",
            "telephone_number": "303-443-3774",
            "fax_number": "303-442-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 FOLSOM ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026718",
            "telephone_number": "303-443-3774",
            "fax_number": "303-442-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN YAMASHIRO D.D.S., M.S.D., PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "YAMASHIRO",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-443-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DT-10342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yamashiro Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.