Michael Alan Miyasaki, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35433 Issued in CA

Practice address

1428 U Street
Sacramento, CA 95818-1489

Phone

(916) 442-8911

Fax

(702) 478-6469

NPI assigned

Feb 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1972743458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 U STREET",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181489",
            "telephone_number": "916-747-3038",
            "fax_number": "702-478-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 U STREET",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181489",
            "telephone_number": "916-442-8911",
            "fax_number": "702-478-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASAKI",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "35433",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3783",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rakiaya Shayree' Mixon, MSW
• Tanner Mixon, CRNA
• Ja'Cinta Mixson, PSY.D.
• Lauren S Miyamoto
• Sheridan Whalen Miyamoto, R.N., N.P.
• Jessica Kikumi Miyashiro, PA
• Ikuko Miyazaki, MS
• Reika Miyokawa
• Reshmi Lata Mizani
• McKinley Mize, RN

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.