Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Takanari Miyamoto, DDS

Individual provider Periodontics · NPI 1376730143

Dr. Takanari Miyamoto, DDS is a Periodontics in LA Vista, Nebraska. Licensed in Nebraska. Registered with an NPI since 2007.

Licensed in
NE
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

12110 Port Grace Blvd Ste 202
LA Vista, NE 68128-3190
Phone: (402) 614-7022
Fax: (402) 614-7122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6823 (NE)

Record details

NPI number1376730143
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 26, 2007
Last updated in NPPESMay 27, 2010

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