Active NPI
Ritsuko Mizoguchi, D.M.D.
- Dentist
- Hyannis, MA
National Provider Identifier
1851591036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21650
- Practice address
- 735 Attucks LN
Hyannis, MA 02601-1867 - Phone
- (508) 778-0300
- Fax
- (508) 778-8747
- NPI assigned
- Jul 24, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 21650 | MA | Primary |
Addresses
Primary practice location
735 Attucks LN
Hyannis, MA 02601-1867
Mailing address
735 Attucks LN
Hyannis, MA 02601-1867
Phone (508) 778-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160618000010 | MA | Order and Referring Only - Oral Surgery | 6901197102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21650 | MA | MD | Dentist |
Interoperability endpoints
- rmizoguchi322476@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420329600000",
"number": "1851591036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 ATTUCKS LN",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026011867",
"telephone_number": "508-778-0300",
"fax_number": "508-778-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 ATTUCKS LN",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026011867",
"telephone_number": "508-778-0300",
"fax_number": "508-778-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZOGUCHI",
"first_name": "RITSUKO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2015-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "21650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2015; 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.