Alvin C. Miranda, D.D.S, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

13020 Issued in MD

Legal business name

ALVIN C. MIRANDA, D.D.S, P.A.

Practice address

200 Thomas St
Bel Air, MD 21014-3634

Phone

(410) 420-9705

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Alvin Christopher Miranda, DDSNPI 1467578179

Title

Owner

Phone

(410) 420-9705

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Alvin Christopher Miranda, DDS

  • Dentist
  • Bel Air, MD
  • NPI 1467578179
  NPD (past) Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1194191619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 THOMAS ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143634",
            "telephone_number": "410-420-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 THOMAS ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143634",
            "telephone_number": "410-420-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN C. MIRANDA, D.D.S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-420-9705",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13020",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "15773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.