Duane Yamashiro, DDS,MS
Duane Yamashiro, DDS,MS is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Salt Lake City, UT, registered under NPI 1629275151. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 100 N MEDICAL DR STE 3575, Salt Lake City, UT 84113. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 141853-9921 | UT | Dentist |
| 141853 | UT | Pediatric Dentistry |
| 141853-9921 | UT | Oral and Maxillofacial Surgery (Dentist) primary |
| 141853 | UT | Orthodontics and Dentofacial Orthopedics… |
This provider holds licence 141853-9921 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Oral Surgery
- PAC ID
- 8325279292
- Enrollment ID
- I20140319000620
Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Oral and Maxillofacial Surgery covers
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 122300000X | Dentist | 141853-9921 | UT | |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 141853 | UT | |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | 141853-9921 | UT | primary |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry Orthodontics and Dentofacial Orthopedics | 141853 | UT |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1629275151 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 28, 2007 |
| Last updated | Dec 20, 2021 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | DDS,MS |
| Practice address |
100 N MEDICAL DR STE 3575 Salt Lake City, UT 84113 (801) 662-3930 Fax (801) 662-3933 |
| Mailing address |
100 MARIO CAPECCHI DR STE 3575 Salt Lake City, UT 84113 |
| Other identifiers |
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· Medicaid (UT) 112651200 · Medicaid (WY) 805165800 · Medicaid (ID) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 2 | 7 | 5 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 4 | 7 | 1 | 1 | 1 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.