Doctor profile · Federal record
Dr. Takanari Miyamoto, DDS
Periodontist · La Vista, NE
- NPI 1376730143
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12110 Port Grace Blvd Ste 202
La Vista, NE 681283190
(402) 614-7022
fax (402) 614-7122
Credentials & registration
- NPI registered
- September 2007 — 19 yrs on file
- Profile last updated
- May 27, 2010
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Nebraska #6823
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376730143. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20,301
Transactions
64
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona KK | 5 | $16,295.80 | |
| ZIMVIE INC. | 36 | $2,373.56 | |
| Dentsply Sirona Inc | 18 | $1,279.33 | |
| GC America Inc. | 2 | $302.50 | |
| Geistlich Pharma, North America, Inc. | 1 | $20.50 | |
| American Orthodontics Corporation | 1 | $16.20 | |
| Align Technology, Inc. | 1 | $13.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
162
Patients
129
Total drug cost
$618
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 56 | 49 | $260 |
| Amoxicillin | Generic | 50 | 42 | $188 |
| Ibuprofen | Generic | 43 | 38 | $114 |
| Clindamycin Hcl | Generic | 13 | 0 | $56 |
Frequently asked questions
What is Dr. Takanari Miyamoto's medical specialty?
Dr. Takanari Miyamoto practices Periodontist in La Vista, NE.
Where does Dr. Takanari Miyamoto practice?
Dr. Takanari Miyamoto practices at 12110 Port Grace Blvd Ste 202, La Vista, NE 681283190. Office phone: 4026147022.
What is Dr. Takanari Miyamoto's NPI?
Dr. Takanari Miyamoto's National Provider Identifier (NPI) is 1376730143, issued by NPPES.