Daniel Mirci, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8698624-9924 Issued in UT

Practice address

2090 E 2100 S
Salt Lake City, UT 84109-1152

Phone

(801) 487-3836

NPI assigned

Apr 9, 2013

Last updated

Aug 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1194168187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 S 3040 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093169",
            "telephone_number": "801-425-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091152",
            "telephone_number": "801-487-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRCI",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8698624-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Minutella
• Sophia Marcella Minutoli
• Alondra Miranda
• Emily Elizabeth Miranda, LCSW
• Sandra Miranda, DENTAL HYGIENIST
• Joseph G Mirci, DDS, MAGD
• Misty Mireless
• Paulo H. Miro, MD
• Susan M Mirow, PHD, MD
• Nakisa Mirrafie

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.