Takanari Miyamoto, DDS
Periodontics · La Vista, NE
Takanari Miyamoto, DDS is a periodontics with a practice address in La Vista, Nebraska, and NPI 1376730143, issued on Sep 26, 2007. Check the license (Nebraska 6823, as entered in NPPES) with the Nebraska board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Takanari Miyamoto
- Credential
- DDS
- Primary taxonomy
- Periodontics 1223P0300X
- License number
- 6823 NE
Self-reported in NPPES; status is on the state search - Practice location
- 12110 Port Grace Blvd Ste 202, La Vista, NE 68128
- Phone
- (402) 614-7022
- Enumerated
- Sep 26, 2007
- Record last updated
- May 27, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (402) 614-7122
- Entity
- Type 1 · individual
8 nearest periodontics records → All 29 in Nebraska → Look up another NPI →
Also registered at 12110 Port Grace Blvd Ste 202
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brett Cawley, D.D.S.Endodontics1558788109
Verify Takanari Miyamoto in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Nebraska board licenses this profession
Search for license 6823Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
33% fewer Medicare Part D claims than the average periodontics in 2024
186 Medicare Part D claims for 73 beneficiaries, against an average of 277 among the 4,191 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Amoxicillin77 claims
- Ibuprofen54 claims
- Chlorhexidine Gluconate27 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $20,301.31
64 payments; by number, the most common kind was food and beverage; the largest payer was Dentsply Sirona KK. The 2,966 providers of this specialty with any payment received $1,338.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Takanari Miyamoto among 29 periodontics records in Nebraska
Takanari Miyamoto, DDS is one of 29 periodontics records with a practice address in Nebraska. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 41% of them.
- NPI issued2007 · 41% of these records are older, 34% newer
- In a Medicare fileYes · 62% of these records are
- In the CMS Doctors and Clinicians fileNo · 0% of these records are
- Record last updated2010 · 83% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0300X and a Nebraska practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Periodontics providers in Nebraska
There are 29 periodontics records in Nebraska.
All 29 in Nebraska → Every provider in La Vista → Periodontics nationwide →
The 8 periodontics records with the nearest ZIP codes
- Shakeel Khan, DDSOmaha, NE 681371891575700
- William KelseyOmaha, NE 681181730315714
- Matthew Kelsey, D.D.S., M.S.Omaha, NE 681181326200072
- Shannan Johnson, D.M.D.Offutt Afb, NE 681131114259868
- Marcela Land, DDSOffutt Afb, NE 681131750804845
- Vincent Takacs, DDSOffutt Afb, NE 681131861480568
- Timothy McVaney, DDS, MSOmaha, NE 681441982632121
- Stacy Moffenbier, DDSOmaha, NE 681441396769949
Common questions
What is Takanari Miyamoto, DDS's NPI number?
Takanari Miyamoto, DDS's National Provider Identifier (NPI) is 1376730143, issued on Sep 26, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Takanari Miyamoto, DDS located?
The NPPES record lists a practice address at 12110 Port Grace Blvd Ste 202, La Vista, NE, 68128. Phone: (402) 614-7022. Providers update this record themselves, so call before visiting.
How can I verify Takanari Miyamoto, DDS's license?
NPPES lists Nebraska license number 6823, as entered by the provider. Search the Nebraska board that licenses this profession; the NPPES record confirms identity only.
How much does Takanari Miyamoto, DDS prescribe under Medicare Part D?
In 2024, Takanari Miyamoto, DDS had 186 Medicare Part D claims for 73 beneficiaries; the average among periodontics prescribers was 277. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.