Active NPI
Michael Tadayuki Miyamoto, DDS
- Prosthodontics
- Honolulu, HI
National Provider Identifier
1013531656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DT-3153
- Practice address
- 615 Piikoi St Ste 1101
Honolulu, HI 96814-3141 - Phone
- (808) 596-2622
- NPI assigned
- May 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT-3153 | HI | |
| Prosthodontics | 1223P0700X | DT-3153 | HI | Primary |
Addresses
Primary practice location
615 Piikoi St Ste 1101
Honolulu, HI 96814-3141
Mailing address
615 Piikoi St Ste 1101
Honolulu, HI 96814-3141
Phone (808) 596-2622
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-3153 | HI | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1013531656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 PIIKOI ST STE 1101",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143141",
"telephone_number": "808-596-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 PIIKOI ST STE 1101",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143141",
"telephone_number": "808-596-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYAMOTO",
"first_name": "MICHAEL",
"middle_name": "TADAYUKI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-3153",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "HI",
"license": "DT-3153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.