Phi and Miyamoto Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47291 Issued in CA

Legal business name

PHI AND MIYAMOTO DENTAL CORPORATION

Doing business as

La Costa Del Sur Dental Practice

Practice address

3257 Camino de Los Coches
Suite 302
Carlsbad, CA 92009-8966

Phone

(760) 942-5888

NPI assigned

May 22, 2007

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Miyamoto, D.D.S.NPI 1356453781

Title

President

Phone

(760) 942-5888

Specialties & licenses 1

Addresses

Other names 1

• La Costa Del Sur Dental Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Miyamoto, DDS

  • General Practice Dentistry
  • Carlsbad, CA
  • NPI 1356453781
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1508075086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES",
            "address_2": "SUITE 302",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES",
            "address_2": "SUITE 302",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098966",
            "telephone_number": "760-942-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI AND MIYAMOTO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-942-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Costa Del Sur Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minh Ngoc Phan, DMD
• Thi Thi Cong Phan, DDS
• Alyssha Phanord
• Pharmaca Integrative Pharmacy, Inc. (Pharmaca Integrative Pharmacy)
• Kathleen Phelps, L.C.S.W.
• Amber Philbeck, LCSW
• Phillips Chiropractic
• Brianna Nikole Phillips
• Victoria Phillips, DC
• Victoria Phipps, LMT/CMT

• General Practice Dentistry in Carlsbad, CA
• Providers in Carlsbad, 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 Feb 19, 2009; 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.