Kristin Cavanah Mirda, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN17649 Issued in FL

Practice address

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

Phone

(321) 622-6255

Fax

(321) 622-6254

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunshine Smiles

  • Dentist
  • Melbourne, FL
  • NPI 1083025019
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1225144017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S MARCO WAY",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373453",
            "telephone_number": "321-266-2312"
        },
        {
            "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": {
        "last_name": "MIRDA",
        "first_name": "KRISTIN",
        "middle_name": "CAVANAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talya Mintz, DDS
• Richard Paul Minuski Jr., D.C., APRN, AGNP-C
• Eliett Mary Miranda
• Jason Miranda, CRNA
• Whitney Miranda, CNM
• Poonam Mishra, D.O.
• Brittany Devine Misrahi, M.S.
• Cadence Marie Mister
• Mitchell Kaplan DC PA
• Mitchell R Greenberg, DC, Inc

• Pediatric Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.