DR. ALAN AKIO MIYAKE (NPI# 1124050208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124050208 |
Entity Type | Individual |
Full Name | DR. ALAN AKIO MIYAKE |
Credential | MD, DDS |
Practice Address |
1201 N. Stonewall Ave Dcsb 206 Oklahoma City OK 73117-1214 |
Mailing Address |
1201 N. Stonewall Ave. Dcsb 206 Oklahoma City OK 73117-1214 |
Practice Telephone | 4052714441 |
Mailing Telephone | 4052714441 |
Mailing Fax Number | 4052711134 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2014-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | 22636 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | MEDICAL LICENSE # | 22636 | 01 |
OK | DENTAL LICENSE # | 5578 | 01 |
Street Address |
1201 N. STONEWALL AVE DCSB 206 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73117-1214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
Find all providers in zip 73117 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124133061 | Lester Lyman Cowden IIi | Oral & Maxillofacial Surgery | 3100 W Britton Rd, Suite A, Oklahoma City, OK 73120-2036 | 2006-08-20 |
1821131731 | Shawne Higashi | Oral & Maxillofacial Surgery | 1201 N Stonewall Ave, Room 206, Oklahoma City, OK 73117-1214 | 2007-02-14 |
1518000421 | Shawn B Davis | Oral & Maxillofacial Surgery | 1201 N Stonewall Ave, Room 206, Oklahoma City, OK 73117-1214 | 2007-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629151188 | Eastern Oklahoma Oral Maxillofacial Surgeons | Oral & Maxillofacial Surgery | 2950 S Elm Place, Suite 340, Broken Arrow, OK 74012 | 2006-10-20 |
1598931735 | Beomjune B Kim | Oral & Maxillofacial Surgery | 10109 E. 79th Street, Tulsa, OK 74133 | 2008-05-07 |
City | OKLAHOMA CITY |
Zip Code | 73117 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.