David Ken Miyasaki, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2530 Issued in HI

Practice address

1139 Bethel St
Honolulu, HI 96813-2207

Phone

(808) 533-0000

NPI assigned

May 22, 2014

Last updated

May 22, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilfred a. Miyasaki, D.M.D., Inc.

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1659503076
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1518379767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132207",
            "telephone_number": "808-533-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132207",
            "telephone_number": "808-533-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASAKI",
        "first_name": "DAVID",
        "middle_name": "KEN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiona Miyamoto
• Kelianne Miyaoka
• Donna Miyasaka, M.D.
• James Kiyoshi Miyasaka, O.D.
• Richard Hiroshi Miyasaka, O.D.
• Marc R Miyasaki, MD
• Wilfred A Miyasaki, DMD
• Angie Miyashiro-Saipaia
• Bradley Koichi Miyashiro, PHARMD
• James H Miyashiro

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.