KYOKA MIZUNO
Dental Hygienist

Address: 43000 Midway Ave # 595, San Diego, CA 92140-5692

KYOKA MIZUNO (NPI# 1306437967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306437967
Entity Type Individual
Full Name KYOKA MIZUNO
Gender Female
Practice Address 43000 Midway Ave # 595
San Diego
CA 92140-5692
Practice Telephone 6195244006
Mailing Address 43000 Midway Ave # 595
San Diego
CA 92140-5692
Mailing Telephone 6195244006
Certification Date 2021-01-27
Enumeration Date 2021-01-27
Last Update Date 2021-01-27
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist Dental Providers

Office Location

Street Address 43000 MIDWAY AVE # 595
City SAN DIEGO
State CA
Zip Code 92140-5692

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609916568 Stephen R Hoyem Dentist · General Practice 43000 Midway Ave Bldg 595, Mcrd, San Diego, CA 92140-5692 2007-02-07
1205803566 Carl Erik Opsahl Dentist · General Practice 43000 Midway Ave, San Diego, CA 92140-5692 2006-03-07
1992396642 Eric N Rojas Dental Hygienist 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 2021-01-26
1649897109 Laura Thomas Dentist · General Practice 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 2020-07-01
1114561198 Jesse Huston Dentist · General Practice 43000 Midway Ave, San Diego, CA 92140-5692 2019-11-01
1063063774 Kyoung Won Han Dentist 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 2019-09-24
1922655000 Monica Haewon Lee Dentist 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 2019-08-22
1659876852 Charles William Bruchu Dentist 43000 Midway Ave, San Diego, CA 92140-5692 2018-03-28
1992221659 Marcus Andrew Thayn Dentist · General Practice 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 2017-08-15
1437581899 Eric Michael Howard Dentist · General Practice 43000 Midway Ave, San Diego, CA 92140-5692 2013-08-07
Find all providers in zip 92140-5692

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1528549177 Shelly K Gareiss Dentist · General Practice Mcrd San Diego, 3800 Chosin Avenue, San Diego, CA 92140 2018-08-22
1700185303 Rachel Ann Holloway · Rachel Ann Holloway Physician Assistant 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 2011-03-22
1215158027 Susan Rohbock Physician Assistant · Medical Navy Medical Clinic - Marine Corps Recruit Depot, 35000 Guadalcanal St., San Diego, CA 92140 2007-05-01
1700927514 Anthony Joseph Marciante Dentist · General Practice Branch Dental Clinic Mcrd, 43000 Midway Ave, Bldg 595, San Diego, CA 92140 2007-02-12
1861539488 Justin Oderkirk Emergency Medical Technician, Basic 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 2007-01-31
1437240777 Karima Ayesh Dentist · General Practice 34000 Midway Ave, Bldg 595, Apo, AA 92140 2006-09-28
1730288788 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 25000 Guadal Canal Rd, Bldg 256, San Diego, CA 92140 2006-09-22
1306800644 Reynaldo L Reyes Jr. Military Health Care Provider · Independent Duty Corpsman 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 2006-04-13
1932161197 Reynaldo Aldover Guadez Military Health Care Provider · Independent Duty Corpsman Branch Medical Clinic Mcrd, 35000 Guadalcanal Street, San Diego, CA 92140 2006-04-04
1730151648 Richard William Skinner General Practice Branch Clinic Marine Corps Recruit Depot, 35000 Guadalcanal Ave, San Diego, CA 92140 2006-02-03
Find all providers in zip 92140

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912598749 Reynald Marquez 824 Briarpoint Pl, San Diego, CA 92154-6457 2021-02-03
1598353088 Maggie M Kading 15684 Bernardo Center Dr Apt 2001, San Diego, CA 92127-1851 2021-01-09
1427657261 Julie Lynn March 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 2020-10-22
1063011120 Pamela Ann Reid-Williams 4155 Spillman Dr, San Diego, CA 92105-5207 2020-10-20
1053928986 Xueyan Yang 13593 Cantare Trl, San Diego, CA 92130-1305 2020-09-24
1245852110 Amber D Riley 2929 Cowley Way Unit G, San Diego, CA 92117-6824 2020-05-13
1013542976 Sarah Lisabeth St John 17107 Montura Dr, San Diego, CA 92128-2127 2020-03-10
1053872275 Erika Hernandez 600 Mc Cain Blvd, San Diego, CA 92135 2019-03-29
1952876138 Kathleen Batenga 6253 Avenida De Las Vistas Unit 1, San Diego, CA 92154-6619 2018-10-03
1043791403 Maricruz Barba 7734 Backer Rd, San Diego, CA 92126-3568 2018-08-23
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.