Jon Derek Yatsushiro, D.D.S.
Jon Derek Yatsushiro is a Endodontics provider (Dentist) practicing in Gresham, OR, registered in the NPPES registry with NPI 1265505408 since 2006. The credential DDS stands for Doctor of Dental Surgery. Practices at Gresham Downtown Dental Group, P.C. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265505408 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jon Derek Yatsushiro |
| Credential | D.D.S. |
| Sex | Male |
| Practice address | 320 NE 5TH ST, Gresham, OR, 97030 |
| Phone | 5036650495 |
| Fax | 5036749196 |
| Enumeration date | 2006-11-16 |
| Last updated in NPPES | 2016-08-03 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223E0200X | Endodontics | Primary | D7505 | OR |
| 1223E0200X | Endodontics | Secondary | 1571 | HI |
| 1223E0200X | Endodontics | Secondary | 35662 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Jon Yatsushiro, D.D.S. NPI: 1265505408 Taxonomy: 1223E0200X (Endodontics) Address: 320 NE 5TH ST, Gresham, OR, 97030
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902993694 | Gary Fisher | Individual | Dentist | Gresham, OR |
| 1710074364 | Trent Westover | Individual | Dentist | Gresham, OR |
| 1861557100 | Gary White | Individual | General Practice Dentistry | Gresham, OR |
| 1659546547 | Gresham Downtown Dental Group, P.C. | Organization | General Practice Dentistry | Gresham, OR |
| 1558526368 | Ty Vaughan | Individual | Endodontics | Gresham, OR |
| 1962899286 | Luke Noble | Individual | Endodontics | Gresham, OR |
Verify this record
Cross-check NPI 1265505408 against the authoritative CMS record: view Jon Derek Yatsushiro on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-03.