DR. STEVEN A MIYAMOTO DDS
NPI 1508039827
Dentist - Oral and Maxillofacial Surgery in Fullerton, CA

Q: What is Steven Miyamoto's NPI number?

The NPI number for Steven Miyamoto is 1508039827. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Q: What is Steven Miyamoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Steven Miyamoto enrolled in Medicare?

No. Steven Miyamoto has opted out of Medicare through November 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Steven Miyamoto was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2008Opted out of Medicare · through Nov 23, 2027

113 W. AMERIGE AVE, FULLERTON, CA 92832(714) 525-1178(714) 879-6235 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Steven A Miyamoto Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEVEN A MIYAMOTO DDS (NPI 1508039827) is an individual oral and maxillofacial surgery provider in Fullerton, California, licensed in California (42368) and active in the NPI registry since April 2008. He has opted out of Medicare through November 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508039827

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. STEVEN A MIYAMOTOCredential: DDS

Location Address113 W. AMERIGE AVEFullerton, CA 92832

Mailing Address113 W. Amerige AveFullerton, CA 92832 · (714) 525-1178 · Fax (714) 879-6235

Phone(714) 525-1178

Fax(714) 879-6235

Sole ProprietorYes

Enumeration DateApril 8, 2008

Last NPPES UpdateSeptember 29, 2015

✔ NPI 1508039827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 42368

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

113 W. AMERIGE AVE, Fullerton, CA 92832

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Steven A Miyamoto Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 23, 2015 through November 23, 2027.

Opt-Out Effective DateNovember 23, 2015

Opt-Out In Effect ThroughNovember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Miyamoto's NPI number?

The NPI number for Steven Miyamoto is 1508039827. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Steven Miyamoto located?

Steven Miyamoto practices at 113 W. Amerige Ave, Fullerton, CA 92832. The listed phone number is (714) 525-1178.

What is Steven Miyamoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Steven Miyamoto enrolled in Medicare?

No. Steven Miyamoto has opted out of Medicare through November 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Steven Miyamoto was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.