Koyama Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOYAMA DENTAL LLC

Practice address

269 Munoz Rivera
San Juan, PR 00918-2530

Phone

(787) 966-7375

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Daniela M Koyama, DMDNPI 1942227665

Title

Dentist

Phone

(939) 273-8750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniela Mikie Koyama, DMD

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1942227665
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1366024424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361009",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361009",
            "telephone_number": "787-810-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182530",
            "telephone_number": "787-966-7375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Ave San Patricio",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009211326",
            "country_code": "US",
            "telephone_number": "787-781-5058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOYAMA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "KOYAMA",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "939-273-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Koffel, M.D.
• Elaine Frances Kolodziej, AUD
• Aimee Kopta, MSW
• Kore Group LLC
• Lynda R Kosaka, MSW
• Daniela Mikie Koyama, DMD
• KP Neurology LLC
• Jan J Kraemer, M.D.
• Ksas Interamerican Lab. Inc.
• KT Group LLC

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.