Active NPI
Miyuki Tanaka, RDH
- Dental Hygienist
- Hialeah, FL
National Provider Identifier
1568758498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH 20536
- Practice address
- 5961 NW 173Rd Dr
Hialeah, FL 33015-5114 - Phone
- (305) 556-7500
- Fax
- (305) 503-3476
- NPI assigned
- Jun 20, 2011
- Last updated
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH 20536 | FL | Primary |
Addresses
Primary practice location
5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Mailing address
1000 Park Centre Blvd
100
Miami, FL 33169-5373
Phone (305) 621-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH 20536 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1568758498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PARK CENTRE BLVD",
"address_2": "100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331695373",
"telephone_number": "305-621-0023",
"fax_number": "305-623-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5961 NW 173RD DR",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155114",
"telephone_number": "305-556-7500",
"fax_number": "305-503-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAKA",
"first_name": "MIYUKI",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH 20536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.