Wilfred A Miyasaki, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

940 Issued in HI

Practice address

1139 Bethel St
Honolulu, HI 96813-2219

Phone

(808) 533-0000

Fax

(808) 523-1240

NPI assigned

Dec 30, 2006

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 and National Provider Directory roles.

• Wilfred a. Miyasaki, D.M.D., Inc.

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1659503076
  NPD (past) Authorized official
• Hawaii Dental Wellness, LLC

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1932473634
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730245804",
    "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": "968132219",
            "telephone_number": "808-533-0000",
            "fax_number": "808-523-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132219",
            "telephone_number": "808-533-0000",
            "fax_number": "808-523-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASAKI",
        "first_name": "WILFRED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Miyasaka, M.D.
• James Kiyoshi Miyasaka, O.D.
• Richard Hiroshi Miyasaka, O.D.
• David Ken Miyasaki, D.M.D.
• Marc R Miyasaki, MD
• Angie Miyashiro-Saipaia
• Bradley Koichi Miyashiro, PHARMD
• James H Miyashiro
• Janelle Akemi Miyashiro, BSN, RN
• Justin K. Miyashiro, RD

• 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 Jul 8, 2007; 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.