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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

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: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist
Orthodontics and Dentofacial Orthopedics
Accepts Insurance

About MICHAEL MIYAMOTO

This page provides the complete NPI Profile along with additional information for Michael Miyamoto, a provider established in Kent, Washington with a medical specialization in Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1720356124 assigned on December 2011. The practitioner's primary taxonomy code is 1223X0400X with license number DE60904232 (WA). The provider is registered as an individual and his NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI: 1720356124 Verify this NPI
Provider Name: MICHAEL J MIYAMOTO D.D.S., M.S.D.
Gender: Male
Entity Type: Individual
Location Address: 24837 104TH AVE SE STE 200 KENT, WA 98030
Location Phone: (253) 850-1234
Mailing Address: 24837 104TH AVE SE STE 200 KENT, WA 98030
Mailing Phone: (253) 850-1234
Is Sole Proprietor?: Yes
Enumeration Date: 12-13-2011
Last Update Date: 03-18-2019
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A dentist like Michael Miyamoto is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

4901 Point Fosdick Dr NW Ste 300
Gig Harbor, WA 98335
(253) 858-8020

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Orthodontics and Dentofacial Orthopedics
Taxonomy Code: 1223X0400X
Type: Dental Providers
License No.: DE60904232
License State: WA
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway 8500 for HSA - HMO
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Catastrophic Essential (+ Incentives) - HMO
Anthem Catastrophic Pathway (+ Incentives) - EPO
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO