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DR. MIKA MIYAMOTO DMD
NPI 1891792271
Dentist - General Practice in Portland, OR

Active since June 30, 2005PECOS Enrolled
500 NW 10TH AVE, PORTLAND, OR 97209(503) 977-3275(503) 546-3014 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mika Miyamoto Dmd NPPES

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

DR. MIKA MIYAMOTO DMD (NPI 1891792271) is an individual general practice provider in Portland, Oregon, licensed in Oregon (7625) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891792271
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MIKA MIYAMOTOCredential: DMD
Location Address500 NW 10TH AVEPortland, OR 97209-3364
Mailing Address500 Nw 10th AvePortland, OR 97209-3364 · (503) 977-3275 · Fax (503) 546-3014
Phone(503) 977-3275
Fax(503) 546-3014
Sole ProprietorYes
Enumeration DateJune 30, 2005
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 9, 2024
✔ NPI 1891792271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · 7625
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
500 NW 10TH AVE, Portland, OR 97209
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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. Mika Miyamoto Dmd 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 97209 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 Mika Miyamoto's NPI number?

The NPI number for Mika Miyamoto is 1891792271. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Mika Miyamoto located?

Mika Miyamoto practices at 500 NW 10th Ave, Portland, OR 97209. The listed phone number is (503) 977-3275.

What is Mika Miyamoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mika Miyamoto enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mika Miyamoto was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.