TAKANARI MIYAMOTO, DDS

Periodontics · LA VISTA, NE

Individual Active Opted out of Medicare NPI 1376730143

Taxonomy & licensure

Specialty	Code	Primary	License	State
Periodontics	1223P0300X	✓	6823	NE

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: No
Hospice: Yes

Opted out of Medicare (Dentist), effective 2020-10-28 through 2026-10-28.

Other Periodontics providers in Nebraska

METRO WEST DENTAL SPECIALTY GROUP
LA VISTA
NPI 1215647805
AARON BRADLEY, D.D.S.
LINCOLN
NPI 1912252925
BARRY FELDNER, DDS, MS
KEARNEY
NPI 1205048261
CATHERINE SEAGREN ALLEY, DDS MS
LINCOLN
NPI 1578662797
DARYL MALENA, DDS
OMAHA
NPI 1235292657
DARYL E. MALENA
OMAHA
NPI 1790177020
DENNIS ANDERSON, DDS
OMAHA
NPI 1831266121
DR HAROLD P KRESKI
OMAHA
NPI 1356325146

See all Periodontics providers in Nebraska →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.