Daniela Mikie Koyama, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2593 Issued in PR

Practice address

817 Ave San Patricio
San Juan, PR 00921-1311

Phone

(787) 781-8058

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Koyama Dental LLC

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1366024424
  NPD Authorized official
• Magic-Dental Inc.

  • Dental Clinic/Center
  • San Juan, PR
  • NPI 1336572866
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1942227665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361009",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361009",
            "telephone_number": "787-966-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 AVE SAN PATRICIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211311",
            "telephone_number": "787-781-8058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Ave Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009182530",
            "country_code": "US",
            "telephone_number": "787-966-7375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOYAMA",
        "first_name": "DANIELA",
        "middle_name": "MIKIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Frances Kolodziej, AUD
• Aimee Kopta, MSW
• Kore Group LLC
• Lynda R Kosaka, MSW
• Koyama Dental LLC
• KP Neurology LLC
• Jan J Kraemer, M.D.
• Ksas Interamerican Lab. Inc.
• KT Group LLC
• Roberto D Kutcher Diaz

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.