Mizuno Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22692 Issued in TX

Legal business name

MIZUNO FAMILY DENTISTRY PLLC

Practice address

915 W Exchange Pkwy Ste 170
Allen, TX 75013-7020

Phone

(972) 424-3064

NPI assigned

Mar 23, 2018

Organization subpart

No

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

Authorized official

Name

Daigo MizunoNPI 1770669855

Title

Manager

Phone

(972) 424-3064

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daigo Mizuno, D.D.S.

  • General Practice Dentistry
  • Allen, TX
  • NPI 1770669855
  NPD Authorized official

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1780188672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY STE 170",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137020",
            "telephone_number": "972-424-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY STE 170",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137020",
            "telephone_number": "972-424-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZUNO FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MIZUNO",
        "authorized_official_first_name": "DAIGO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-424-3064"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mint Dentistry
• Haideh Mirmesdagh, M.D.
• Shreya S Mistry, P.T
• Sarah Mitchell, RD, LD
• Mizan Counseling, PLLC
• Daigo Mizuno, D.D.S.
• Moataz Pharmacuticals
• Mobile Vision Care, Inc.
• Modern Family Vision
• Sunil Jashvantlal Modi, M.D.

• General Practice Dentistry in Allen, TX
• Providers in Allen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.