DR. ROY MIYAMOTO DDS
NPI 1871630673
Dentist - Orthodontics and Dentofacial Orthopedics in South Gate, CA

Active since January 31, 2007PECOS Enrolled
4444 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 564-2444(323) 249-7565 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roy Miyamoto Dds NPPES

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

DR. ROY MIYAMOTO DDS (NPI 1871630673) is an individual orthodontics and dentofacial orthopedics provider in South Gate, California, licensed in California (33633) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871630673
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ROY MIYAMOTOCredential: DDS
Location Address4444 TWEEDY BLVDSouth Gate, CA 90280-6304
Mailing Address65 Tavella PlFoothill Ranch, CA 92610-2206 · Fax (323) 249-7565
Fax(323) 249-7565
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1871630673 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 CA · 33633
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.
4444 TWEEDY BLVD, South Gate, CA 90280

Other Identifiers 1

MedicaidD33633CA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Roy Miyamoto Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90280 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.

Other Providers at the Same Location NPPES 17

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

Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Denturist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280

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 Roy Miyamoto's NPI number?

The NPI number for Roy Miyamoto is 1871630673. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Roy Miyamoto located?

Roy Miyamoto practices at 4444 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 564-2444.

What is Roy Miyamoto's specialty?

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

Is Roy Miyamoto enrolled in Medicare?

Yes. Roy Miyamoto is registered in the Medicare PECOS enrollment system.

What insurance does Roy 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 Roy 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 Roy Miyamoto was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.