Roger Craig Miya, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

36402 Issued in CA

Practice address

16315 Whittier Blvd Ste 205
Whittier, CA 90603-2910

Phone

(562) 943-1055

Fax

(562) 943-1655

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristen K. Watanabe DDS Inc

  dba Ahava Dental

  • Dental Clinic/Center
  • Whittier, CA
  • NPI 1033935309
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1164701397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 E WHITTIER BLVD STE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90603",
            "telephone_number": "562-943-1055",
            "fax_number": "562-943-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 WHITTIER BLVD STE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032910",
            "telephone_number": "562-943-1055",
            "fax_number": "562-943-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYA",
        "first_name": "ROGER",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora Sally Miranda
• Jisel Vanessa Miranda
• Nakisha Mitchell
• Mitra Rouintan DMD, Inc.
• Sanchayeeta Mitra, MD
• Bobby Miyamoto
• Keith S Miyamoto, M.D.
• Mercedeh Modir Shanechi
• Gregory John Moegling, D.D.S.
• Nasir A Mohammedi, M.D., M.S., M.S.

• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.