Ruben Francisco Miranda, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401411490 Issued in VA

Practice address

3400 Payne St
Suite Number 101
Falls Church, VA 22041-2313

Phone

(703) 578-0000

Fax

(703) 578-8200

NPI assigned

Mar 12, 2007

Sex

Male

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

Enrolled in PA

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

Practice roles

Interoperability endpoints

• Direct secure messaging: ruben.miranda@nhnva.eclinicaldirectplus.com

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.

• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1164620027
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366574576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PAYNE ST",
            "address_2": "SUITE NUMBER 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412313",
            "telephone_number": "703-578-0000",
            "fax_number": "703-578-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PAYNE ST",
            "address_2": "SUITE NUMBER 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412313",
            "telephone_number": "703-578-0000",
            "fax_number": "703-578-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "RUBEN",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindshape LLC
• Tiffany Minehart, MD
• Andrew Lewis Miner, M.D.
• Minh-Tam Le,DDS, LLC (Le Pearl Dental)
• Thomas Minik-Mascitti, DO
• Miriam Woodall Roland MD PC
• Priscilla Joyce Mishler
• Alita Mishra, MD
• Vikas Mishra, MD
• Arundhati Misra, DDS

• Dentist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.