Active NPI
Milagros Erica Miranda Delgado, DDS
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1033702709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013542A
- Practice address
- 2001 W Washington St
Indianapolis, IN 46222-4299 - Phone
- (317) 636-2002
- NPI assigned
- Feb 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013542A | IN | Primary |
Addresses
Primary practice location
2001 W Washington St
Indianapolis, IN 46222-4299
Mailing address
2001 W Washington St
Indianapolis, IN 46222-4299
Phone (317) 636-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013542A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mirandas Dental 929,LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthodontics
- Westfield, IN
- NPI 1073473500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613260800000",
"number": "1033702709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 W WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462224299",
"telephone_number": "317-636-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462224299",
"telephone_number": "317-636-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA DELGADO",
"first_name": "MILAGROS",
"middle_name": "ERICA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-14",
"last_updated": "2021-02-14",
"certification_date": "2021-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013542A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.