MICHAEL J MIYAMOTO D.D.S., M.S.D.
NPI 1720356124
Dentist - Orthodontics and Dentofacial Orthopedics in Kent, WA

Active since December 13, 2011
24837 104TH AVE SE STE 200, KENT, WA 98030(253) 850-1234 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Miyamoto D.d.s., M.s.d. NPPES

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

MICHAEL J MIYAMOTO D.D.S., M.S.D. (NPI 1720356124) is an individual orthodontics and dentofacial orthopedics provider in Kent, Washington, licensed in Washington (DE60904232) and active in the NPI registry since December 2011. He maintains a secondary practice location in Gig Harbor.

NPPES Registry Identity

NPI1720356124
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameMICHAEL J MIYAMOTOCredential: D.D.S., M.S.D.
Location Address24837 104TH AVE SE STE 200Kent, WA 98030-6800
Mailing Address24837 104th Ave Se Ste 200Kent, WA 98030-6800 · (253) 850-1234
Sole ProprietorYes
Enumeration DateDecember 13, 2011
Last NPPES UpdateMarch 18, 2019
NPI 1720356124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WA · DE60904232
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
24837 104TH AVE SE STE 200, Kent, WA 98030

Secondary Practice Location 1

Location 14901 Point Fosdick Dr NW Ste 300Gig Harbor, WA 98335-1846 · Phone (253) 858-8020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
24837 104TH AVE SE STE 200
KENT, WA 98030
Dentist (Pediatric Dentistry)
24837 104TH AVE SE STE 200
KENT, WA 98030
Dentist (Orthodontics and Dentofacial Orthopedics)
24837 104TH AVE SE STE 200
KENT, WA 98030
Dentist (Pediatric Dentistry)
24837 104TH AVE SE STE 200
KENT, WA 98030
Clinic/Center (Dental)
24837 104TH AVE SE STE 200
KENT, WA 98030
Dentist (Orthodontics and Dentofacial Orthopedics)
24837 104TH AVE SE STE 200
KENT, WA 98030

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 Michael Miyamoto's NPI number?

The NPI number for Michael Miyamoto is 1720356124. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Michael Miyamoto located?

Michael Miyamoto practices at 24837 104th Ave SE Ste 200, Kent, WA 98030. The listed phone number is (253) 850-1234.

What is Michael Miyamoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Michael Miyamoto accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Michael Miyamoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Miyamoto was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.