DR. MATTHEW MIZUKAWA (NPI# 1013100551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013100551 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW MIZUKAWA |
| Credential | D.M.D. |
| Practice Address |
1623 The Vanderbilt Clinic Nashville TN 37232-0001 |
| Practice Telephone | 6153439403 |
| Mailing Telephone | 6153439403 |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2012-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
TN 9578 | TN | Dental Providers |
| Street Address |
1623 THE VANDERBILT CLINIC |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508399296 | Andrew Jackson Mills Iv | Dentist | 1623 The Vanderbilt Clinic, Department of Oral & Maxillofacial Surgery, Nashville, TN 37232-0001 | 2017-04-10 |
| 1902251358 | Suzanne Barnes | Student in an Organized Health Care Education/Training Program | 1623 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2016-05-03 |
| 1194179176 | Rachel Harvey Strait | Student in an Organized Health Care Education/Training Program | 1623 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2016-04-16 |
| 1427445238 | Michael Border | Student in an Organized Health Care Education/Training Program | 1623 The Vanderbilt Clinic, Department of Oral & Maxillofacial Surgery, Nashville, TN 37232-0001 | 2015-04-20 |
| 1306275946 | Jeannie Margo Wood | Nurse Practitioner | 1623 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-11-04 |
| 1699118232 | Erik Jens Nielsen | Oral & Maxillofacial Surgery | 1623 The Vanderbilt Clinic, Vanderbilt University Medical Center, Nashville, TN 37232-0001 | 2013-04-13 |
| 1801143011 | Nicholas Piemontesi | Student in an Organized Health Care Education/Training Program | 1623 The Vanderbilt Clinic, Department of Oral and Maxillofacial Surgery, Nashville, TN 37232-5225 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1013200054 | Ryan Fitzgerald Thomas | Dentist | 5802 Nolensville Pike Ste 103, Nashville, TN 37211-6540 | 2011-05-24 |
| 1497084057 | Kendall M Sims | Dentist | 1829 Jo Johnston Ave, Nashville, TN 37203-2870 | 2009-12-10 |
| 1770606014 | Cooper Oral & Maxillofacial Surgery, PC | Dentist | 207 Twenty Third Avenue North, Nashville, TN 37203-1501 | 2007-04-10 |
| 1447317953 | Robin Ricardo Daniel | Dentist | 1829 Jo Johnston Avenue, Nashville, TN 37203-2120 | 2007-01-03 |
| 1598830770 | Christian Clarence Bennerman | Dentist | 2653 Lakevilla Dr, Nashville, TN 37217-3836 | 2006-11-22 |
| 1477635324 | Oral & Facial Surgery Group PC | Dentist | 300 20th Ave N Ste 606, Nashville, TN 37203-5606 | 2006-10-19 |
| 1639263783 | Harry Russell Mack Jr. | Dentist | 5802 Nolensville Pike, Suite #103, Nashville, TN 37211-6520 | 2006-10-03 |
| 1184734386 | Deji A Ogundiya | Dentist | 1801 Church St, Nashville, TN 37203-2201 | 2006-08-30 |
| Find all providers in NASHVILLE | ||||
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| 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.