DR. RYAN MASAO MIZUMOTO


Address: 55 Caren Ave Ste 270, Worthington, OH 43085-2515
Phone: 6148857721

DR. RYAN MASAO MIZUMOTO (NPI# 1578793006) 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) 1578793006
Entity Type Individual
Full Name DR. RYAN MASAO MIZUMOTO
Credential DMD
Practice Address 55 Caren Ave Ste 270
Worthington
OH 43085-2515
Mailing Address 6779 Oakfair Ave
Columbus
OH 43235-2734
Practice Telephone 6148857721
Practice Fax Number 6148880284
Mailing Telephone 2069206173
Enumeration Date 2009-07-17
Last Update Date 2019-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 019028088 IL Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
30-023250 OH Dental Providers
Y 1223P0700X Dentist
Specialization: Prosthodontics
30-023250 OH Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7393 Broadview Rd Ste E, Seven Hills, OH 441314445 2165242499 2165241807
5155 Bradenton Ave Ste 110, Dublin, OH 430177559 6147980083

Office Location

Street Address 55 CAREN AVE STE 270
City WORTHINGTON
State OH
Zip Code 43085-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073779575 Bradley A Purcell Dentist 55 Caren Ave Ste 270, Worthington, OH 43085-2515 2008-08-04
1932631884 Hyunok Cindy Jo Dentist 55 Caren Ave Ste 270, Worthington, OH 43085-2515 2017-03-30
1912250135 Bradley A Purcell D.d.s. M.s. & Ryan M. Mizumoto D.m.d., M.s., Inc Dentist 55 Caren Ave Ste 270, Worthington, OH 43085-2515 2012-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750901468 Natalia Tehan Technician 6417 Linworth Rd, Worthington, OH 43085 2020-04-22
1114546033 Shelby Kaye Breneman Case Manager/Care Coordinator 445 E. Dublin Gradville Rd., Worthington, OH 43085 2020-04-10
1366919144 Halle Kleiber Behavior Technician 455 E Dublin Granville Road, Worthington, OH 43085 2018-10-30
1184119943 Debbie Elizabeth Costello Foster Care Agency 5655 North High St., Columbus, OH 43085 2018-06-25
1700389186 Audrey Kathryn Eichenlaub Dentist 6641 N High St Ste 101, Worthington, OH 43085 2018-03-13
1568971828 Sharon Cooley-burdine Registered Nurse 495 Englander Court, Worthington, OH 43085 2017-09-29
1487183885 Kathleen Marie Hussein Social Worker 445 East Dublin-granville Road, Columbus, OH 43085 2017-06-08
1760910459 Eileen Marie Butler Physical Therapist 200 East Wilson Bridge, Worthington, OH 43085 2017-05-25
1346692431 Julie H. Richards Counselor 870 High Street, Suite 203, Worthington, OH 43085 2016-07-12
1922452796 Penny Anne Coons Pharmacist 866 Loch Lomond Lane, Worthington, OH 43085 2016-04-19
Find all providers in zip 43085

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073779575 Bradley A Purcell Dentist 55 Caren Ave Ste 270, Worthington, OH 43085-2515 2008-08-04
1932631884 Hyunok Cindy Jo Dentist 55 Caren Ave Ste 270, Worthington, OH 43085-2515 2017-03-30
1912250135 Bradley A Purcell D.d.s. M.s. & Ryan M. Mizumoto D.m.d., M.s., Inc Dentist 55 Caren Ave Ste 270, Worthington, OH 43085-2515 2012-10-25
1952331456 Richard Pratt Cunningham Dentist 7227 N High St, Suite 1, Worthington, OH 43085-2343 2006-07-03
1659300572 Kim Allen Laurell Dentist 55 Caren Avenue, Suite 270, Worthington, OH 43085 2006-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649887670 Hanin Hammoudeh Dentist 305 W 12th Ave # 3005s, Columbus, OH 43210-1267 2020-09-24
1235785957 Diogo Do Nascimento Machado Gouveia Dentist 305 W 12th Ave Ofc 3005d, Columbus, OH 43210-1267 2019-08-19
1275060196 Robert James Faulkner Dentist 5391 Grand Legacy Dr, Maineville, OH 45039-7783 2017-05-23
1225333875 Manish Chopra Dmd Inc. Dentist 2752 Erie Ave Ste 1, Cincinnati, OH 45208-2207 2011-01-12
1164732871 Burak Yilmaz Dentist 305 W12th Ave. Postle Hall, The Ohio State University College of Dentistry, Columbus, OH 43210 2010-10-15
1194054650 Sanjay Karunagaran Dentist 5155 Buehlers Dr Ste 107, Medina, OH 44256-5389 2009-12-12
1073769204 Meckler Dental Providers (macedonia), Inc. Dentist 8210 Macedonia Commons, Unit #6, Macedonia, OH 44056-1860 2008-08-07
1619173994 Charles Vito Caponigro Dentist 460 S State St, Westerville, OH 43081-2922 2007-06-25
1730394594 Mark Steven Bello Dentist 1816 Columbus Pike, Delaware, OH 43015-2728 2007-05-14
1619189602 Roland Paul Pagniano Jr. Dentist 6805 Avery-muirfield Drive, Suite 201, Dublin, OH 43016-7184 2007-05-04
Find all providers with the same taxonomy

Competitor

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City WORTHINGTON
Zip Code 43085

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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.

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