Organization Active NPI

William T. Miyazaki, D.O., PC

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1548440183
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
447 Issued in NV
Legal business name
WILLIAM T. MIYAZAKI, D.O., PC
Doing business as
Stead Medical Group
Practice address
5990 Silver Lake Rd
Reno, NV 89506-2301
Phone
(775) 972-9100
Fax
(775) 972-9101
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Dr. William T, Miyazaki, DO
Title
Physician
Phone
(775) 972-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 447 NV Primary

Addresses

Primary practice location

5990 Silver Lake Rd
Reno, NV 89506-2301

Mailing address

5990 Silver Lake Rd
Reno, NV 89506-2301
Phone (775) 972-9100

Other names 1

  • Stead Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

5990 Silver Lake Rd
Ste C
Reno, NV 89506
Phone (702) 972-9100

5990 Silver Lake Rd
Reno, NV 89506
Phone (775) 971-3971

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1548440183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 SILVER LAKE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062301",
            "telephone_number": "775-972-9100",
            "fax_number": "775-972-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 SILVER LAKE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062301",
            "telephone_number": "775-972-9100",
            "fax_number": "775-972-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T. MIYAZAKI, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "MIYAZAKI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T,",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "775-972-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stead Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stead Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.