Jon Derek Yatsushiro, D.D.S.
NPI 1265505408ActiveIndividual· Dentist, Endodontics· Gresham, OR
Dentist, Endodontics (D.D.S.) in Gresham, Oregon, licensed in OR, HI and CA, with an NPI issued in November 2006.
Overview
| NPI | 1265505408 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Aug 3, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | D7505 | OR |
| Dentist, Endodontics | 1223E0200X | 1571 | HI |
| Dentist, Endodontics | 1223E0200X | 35662 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other endodontists in Gresham
- 1841529179
- 1558526368
- 1902022783
- 1962899286
- 1861561508
- 1932296761