Active NPI
Mireya Dee Santos, R.D.A
- Dental Assistant
- Whittier, CA
National Provider Identifier
1376084590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 72529
- Practice address
- 10721 Telechron Ave Apt 9
Whittier, CA 90605-3421 - Phone
- (562) 278-4950
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 72529 | CA | Primary |
Addresses
Primary practice location
10721 Telechron Ave Apt 9
Whittier, CA 90605-3421
Mailing address
10721 Telechron Ave Apt 9
Whittier, CA 90605-3421
Phone (562) 278-4950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72529 | Medicaid | CA |
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 |
|---|---|---|---|
| 72529 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1376084590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10721 TELECHRON AVE APT 9",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906053421",
"telephone_number": "562-278-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 TELECHRON AVE APT 9",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906053421",
"telephone_number": "562-278-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MIREYA",
"middle_name": "DEE",
"credential": "R.D.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "72529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72529",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.