Leesa S Miyasato, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT1389 Issued in HI

Practice address

65-1230 Mamalahoa Hwy Ste E21
Kamuela, HI 96743-8319

Phone

(808) 887-8801

Fax

(808) 887-8805

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Waimea Smiles Inc

  • Non-Pharmacy Dispensing Site
  • Kamuela, HI
  • NPI 1932334042
  NPD (past) Authorized official
• L&R Dental, LLC

  • Dental Clinic/Center
  • Kamuela, HI
  • NPI 1013647395
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902906530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY STE E21",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438319",
            "telephone_number": "808-887-8801",
            "fax_number": "808-887-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY STE E21",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438319",
            "telephone_number": "808-887-8801",
            "fax_number": "808-887-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASATO",
        "first_name": "LEESA",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT1389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS PROVIDER NUMBER",
            "identifier": "138901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "B-06401-0",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milleno Dayzen Mavaega
• Judea Leigh McAnesby, PSYD
• Maureen McLaughlin, L.AC.
• David Hugh McNaughton, M.D.
• Medstream Anesthesia Hawaii, LLC
• Eric S. Mizuba, D.C.
• Jaclyn Lee Moore, PHARM D
• Elizabeth P Morriss, LCSW
• Mother'S Milk LLC
• Jordan Naihe, RBT

• General Practice Dentistry in Kamuela, HI
• Providers in Kamuela, 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.