Dillon Miyasaki

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108185 Issued in CA

Practice address

10874 Washington Blvd
Culver City, CA 90232-3610

Phone

(310) 837-5121

NPI assigned

Jun 7, 2021

Last updated

Mar 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Ken M. Harada, D.D.S., Inc.

  • General Practice Dentistry
  • Culver City, CA
  • NPI 1255491965
  NPD (past)
• R. Espinoza D.D.S. Inc

  dba EZ Smiles Dental

  • General Practice Dentistry
  • Simi Valley, CA
  • NPI 1912464728
  NPD (past)
• Regina G Espinoza DDS Inc

  • General Practice Dentistry
  • Winnetka, CA
  • NPI 1053728089
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1336716521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10874 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-837-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10874 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-837-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASAKI",
        "first_name": "DILLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108185",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission City Community Network, Inc.
• Courtney Yvette Mitchell
• Maleek Andre Mitchell
• Mitsuaki David Kato, O.D., Inc.
• Torrey Mitsunaga, MS, RDN
• Diana Mladinich
• Mina Moayedi, D.D.S.
• Sahar Moeini, DMD
• Rick Mogil
• Romina Mogtaderi, MSW

• General Practice Dentistry in Culver City, CA
• Providers in Culver City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; 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.