LEESA S MIYASATO D.D.S.
NPI 1902906530
Dentist - General Practice in Kamuela, HI

Q: What is Leesa Miyasato's NPI number?

The NPI number for Leesa Miyasato is 1902906530. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Leesa Miyasato's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leesa Miyasato was last updated on July 8, 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.

Active since September 24, 2006PECOS Enrolled

65-1230 MAMALAHOA HWY STE E21, KAMUELA, HI 96743(808) 887-8801(808) 887-8805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Leesa S Miyasato D.d.s. NPPES

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

LEESA S MIYASATO D.D.S. (NPI 1902906530) is an individual general practice provider in Kamuela, Hawaii, licensed in Hawaii (DT1389) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902906530

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameLEESA S MIYASATOCredential: D.D.S.

Location Address65-1230 MAMALAHOA HWY STE E21Kamuela, HI 96743-8319

Mailing Address65-1230 Mamalahoa Hwy Ste E21Kamuela, HI 96743-8319 · (808) 887-8801 · Fax (808) 887-8805

Phone(808) 887-8801

Fax(808) 887-8805

Sole ProprietorNo

Enumeration DateSeptember 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902906530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in HI · DT1389

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.

65-1230 MAMALAHOA HWY STE E21, Kamuela, HI 96743

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Other Identifiers 2

OtherB-06401-0HI · Hmsa Provider Number

Other138901HI · Hds Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leesa S Miyasato D.d.s. 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 96743 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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 2

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

L&R DENTAL, LLC

Clinic/Center (Dental)

65-1230 MAMALAHOA HWY STE E21
KAMUELA, HI 96743

Hawaii County (808) 887-8801

ADAM R LONG DMD

Dentist (Prosthodontics)

65-1230 MAMALAHOA HWY STE E21
KAMUELA, HI 96743

Hawaii County (808) 887-8801

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 Leesa Miyasato's NPI number?

The NPI number for Leesa Miyasato is 1902906530. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Leesa Miyasato located?

Leesa Miyasato practices at 65-1230 Mamalahoa Hwy Ste E21, Kamuela, HI 96743. The listed phone number is (808) 887-8801.

What is Leesa Miyasato's specialty?

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

Is Leesa Miyasato enrolled in Medicare?

Yes. Leesa Miyasato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leesa Miyasato was last updated on July 8, 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.