Kyoka Mizuno

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

43000 Midway Ave # 595
San Diego, CA 92140-5692

Phone

(619) 524-4006

NPI assigned

Jan 27, 2021

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1306437967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43000 MIDWAY AVE # 595",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921405692",
            "telephone_number": "619-524-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43000 MIDWAY AVE # 595",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921405692",
            "telephone_number": "619-524-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUNO",
        "first_name": "KYOKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Miyashiro, FNP
• Wendi M Miyashiro, L.AC.
• Ramona Mizer
• Sarina Mizianty
• Ayumi Mizumoto, MS
• Mizuta & Associates Physical Therapy, Inc. (Mizuta & Associates Physical Therapy)
• Ericka Craft Mizuta, DPT
• Anna Mercedes Mizzell, MD
• MK Naturopathic and Acupuncture Inc (MK Integrative Wellness)
• Iren Mkrtychyan, DDS

• Dental Hygienist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.