LEESA S MIYASATO (NPI# 1902906530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902906530 |
| Entity Type | Individual |
| Full Name | LEESA S MIYASATO |
| Credential | D.D.S. |
| Practice Address |
65-1230 Mamalahoa Hwy Ste E21 Kamuela HI 96743-8319 |
| Practice Telephone | 8088878801 |
| Practice Fax Number | 8088878805 |
| Mailing Telephone | 8088878801 |
| Mailing Fax Number | 8088878805 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DT1389 | HI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HDS PROVIDER NUMBER | 138901 | 01 |
| HI | HMSA PROVIDER NUMBER | B-06401-0 | 01 |
| Street Address |
65-1230 MAMALAHOA HWY STE E21 |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743-8319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962599969 | Luke Matthew Tarver | Dentist | 65-1158 Mamalahoa Hwy, Suite 27a, Kamuela, HI 96743-8442 | 2006-10-10 |
| 1639150311 | David T Doi | Dentist | 64-5191 Kinohou St, Kamuela, HI 96743-0547 | 2005-11-09 |
| 1093149395 | Doi Enterprises In.c | Dentist | 64-5191 Kinohou St, Kamuela, HI 96743-7392 | 2013-08-22 |
| 1609907245 | Randall Scott Cislo | Dentist | 65-1279 Kawaihae Rd, Suite 101, Kamuela, HI 96743-8444 | 2007-03-07 |
| 1962547968 | Craig Kimura | Dentist | 65-1230 Mamalahoa Hwy, Suite C-22, Kamuela, HI 96743-8318 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184259392 | Lahaina Smiles Dental Group LLC | Dentist | 154 Papalaua St # 200, Lahaina, HI 96761-1616 | 2020-03-09 |
| 1265078349 | Caitlin L Armstrong | Dentist | 46-056 Kamehameha Hwy Ste 288, Kaneohe, HI 96744-6709 | 2019-11-22 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1154964724 | Tracy Lauren Lau | Dentist | 803 Kamehameha Hwy Ste 300, Pearl City, HI 96782-2638 | 2019-10-25 |
| 1366093197 | Matthew Takashi Oda | Dentist | 91-791 Papipi Rd Rm 1, Ewa Beach, HI 96706-2456 | 2019-09-23 |
| 1053966689 | West Kauai Dental LLC | Dentist | 3490 Hanapepe Rd, Hanapepe, HI 96716 | 2019-08-09 |
| 1427602663 | Lahaina Dental Group, LLC | Dentist | 845 Wainee St Ste 206, Lahaina, HI 96761-1688 | 2019-07-26 |
| 1730731662 | Shea Scott Shimabukuro | Dentist | 2-2389 Kaumualii Highway, Kalaheo, HI 96741 | 2019-07-11 |
| 1184286080 | Shaileen Mei Yee Araki | Dentist | 91-1001 Kaimalie St Ste 203, Ewa Beach, HI 96706-6247 | 2019-07-01 |
| 1114402526 | Norman Sm Cheung Dds LLC | Dentist | 94-239 Waipahu Depot St Ste 212, Waipahu, HI 96797-3056 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
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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.