John Hideo Mizukawa, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

136226 Issued in UT

Practice address

10 Diagonal St
Suite 204
St George, UT 84770-2878

Phone

(435) 673-1554

Fax

(435) 674-9967

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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)

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 and National Provider Directory roles.

• Dixie Oral, Maxillofacial & Implant Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • St George, UT
  • NPI 1508980848
  NPD (past)
• Wright Family Chiropractic LLC

  • Chiropractor
  • St George, UT
  • NPI 1699949859
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295831691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DIAGONAL ST",
            "address_2": "SUITE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702878",
            "telephone_number": "435-673-1554",
            "fax_number": "435-674-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DIAGONAL ST",
            "address_2": "SUITE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702878",
            "telephone_number": "435-673-1554",
            "fax_number": "435-674-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUKAWA",
        "first_name": "JOHN",
        "middle_name": "HIDEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "136226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Brittnee Mitchell, NP
• Lauren Mitchell
• Paige Mitchell
• Regan Mitton
• John Hideo Mizukawa II, DDS
• Quamell Jafaar Mobley
• Moderm Medical Solutions Ut PLLC
• Modern Medical Injury Clinic LLC
• Lorraine Gail Moe
• Moenkopi Counseling PC

• Oral and Maxillofacial Surgery (Dentist) in St George, UT
• Providers in St George, UT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.