NPIMap

Organization Active NPI

Sunshine Smiles

  • Dentist
  • Melbourne, FL
National Provider Identifier
1083025019
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 17649 Issued in FL
Legal business name
SUNSHINE SMILES
Practice address
8061 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8297
Phone
(321) 622-6255
Fax
(321) 622-6254
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristin Cavanah Mirda, D.M.DNPI 1225144017
Title
Dentist/ Owner
Phone
(321) 622-6255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN 17649 FL Primary

Addresses

Primary practice location

8061 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8297

Mailing address

8061 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8297
Phone (321) 622-6255

National Provider Directory

National Provider Directory

Locations

8061 Spyglass Hill Rd
Ste 101
Melbourne, FL 32940
Phone (321) 622-6255

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1083025019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 SPYGLASS HILL RD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408297",
            "telephone_number": "321-622-6255",
            "fax_number": "321-622-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8061 SPYGLASS HILL RD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408297",
            "telephone_number": "321-622-6255",
            "fax_number": "321-622-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "MIRDA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "CAVANAH",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "321-622-6255",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.