Active NPI
Paul F Miraglia, DDS
- Pediatric Dentistry
- Plymouth, MA
National Provider Identifier
1285912469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13169
- Practice address
- 135 Sandwich St
Plymouth, MA 02360-2400 - Phone
- (508) 747-2117
- Fax
- (508) 746-2102
- NPI assigned
- Jul 22, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13169 | MA | Primary |
Addresses
Primary practice location
135 Sandwich St
Plymouth, MA 02360-2400
Mailing address
135 Sandwich St
Plymouth, MA 02360-2400
Phone (508) 747-2117
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 |
|---|---|---|---|
| 13169 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1285912469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602400",
"telephone_number": "508-747-2117",
"fax_number": "508-746-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602400",
"telephone_number": "508-747-2117",
"fax_number": "508-746-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRAGLIA",
"first_name": "PAUL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "13169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.