Active NPI
Miriam R Acosta, DDS
- General Practice Dentistry
- Cupertino, CA
National Provider Identifier
1154447746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35585
- Practice address
- 19286 Stevens Creek Blvd
Cupertino, CA 95014-2504 - Phone
- (408) 253-2296
- Fax
- (408) 873-1215
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2007
- 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 | 35585 | CA | Primary |
Addresses
Primary practice location
19286 Stevens Creek Blvd
Cupertino, CA 95014-2504
Mailing address
21085 Lauretta Dr
Cupertino, CA 95014-1655
Phone (408) 253-2296
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154447746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21085 LAURETTA DR",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950141655",
"telephone_number": "408-253-2296",
"fax_number": "408-873-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19286 STEVENS CREEK BLVD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142504",
"telephone_number": "408-253-2296",
"fax_number": "408-873-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "MIRIAM",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "35585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
- Reem Abutabikh
- Ac Wellness Network (AC Wellness)
- Ac Wellness Network (AC Wellness)
- Ac Wellness Network (AC Wellness)
- Ac Wellness on Demand Medical, PLLC
- Acuenergy Health Center
- Jennifer Adams
- Mala Matti Adhikari, M.D.
- Rosafel R. Adriano-Nogra, NURSE PRACTITIONER
- Affiliated Psychologists & Counselors, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.