Active NPI
Yazmin J. Miranda, D.M.D
- General Practice Dentistry
- Round Rock, TX
National Provider Identifier
1255790622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31746
- Practice address
- 1025 Sendero Springs Dr Ste 170
Round Rock, TX 78681-1153 - Phone
- (512) 710-7226
- NPI assigned
- Feb 15, 2016
- Last updated
- May 15, 2024
- 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 | 31746 | TX | Primary |
Addresses
Primary practice location
1025 Sendero Springs Dr Ste 170
Round Rock, TX 78681-1153
Mailing address
1025 Sendero Springs Dr Ste 170
Round Rock, TX 78681-1153
Phone (512) 710-7226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31746 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RR Adc PLLC | General Practice | Current | Accepting new patients |
| Crescent Dental-San Marcos PLLC | Past | Accepting new patients |
Locations
1025 Sendero Springs Dr
Ste 170
Round Rock, TX 78681
Phone (512) 710-7226
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Dental Care of Round Rock
- General Practice Dentistry
- Round Rock, TX
- NPI 1457966434
-
- Dentist
- San Marcos, TX
- NPI 1700166634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1255790622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 SENDERO SPRINGS DR STE 170",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786811153",
"telephone_number": "512-710-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 SENDERO SPRINGS DR STE 170",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786811153",
"telephone_number": "512-710-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "YAZMIN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
- Ministering Physicians, P.a.
- Emily Catherine Mink, NP-C
- Ashley Richardson Minnitt, LCSW-S
- Minuteclinic Diagnostic of Texas PLLC
- Minuteclinic Telehealth Services of Texas Association
- Michelle Marie Misic, MS CCC SLP
- Mississippi Lithotripters, LP
- Sandeep G Mistry, M.D.
- Teresa L. Mitchell-Monroe, RN
- Dominique Mitchell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.