Organization Active NPI

Miranda & Ortega D.M.D., PA

  • General Practice Dentistry
  • New Smyrna Beach, FL
National Provider Identifier
1467542696
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15720 Issued in FL
Legal business name
MIRANDA & ORTEGA D.M.D., PA
Practice address
1298 N Dixie Fwy
New Smyrna Beach, FL 32168-6006
Phone
(386) 428-2958
Fax
(386) 426-6590
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Alejandro Miranda-Knapp, D.M.D.NPI 1841477296
Title
President
Phone
(386) 428-2958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN15720 FL Primary

Addresses

Primary practice location

1298 N Dixie Fwy
New Smyrna Beach, FL 32168-6006

Mailing address

1298 N Dixie Fwy
New Smyrna Beach, FL 32168-6006
Phone (386) 428-2958

National Provider Directory

National Provider Directory

Locations

1298 N Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 428-2958

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467542696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 N DIXIE FWY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686006",
            "telephone_number": "386-428-2958",
            "fax_number": "386-426-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 N DIXIE FWY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686006",
            "telephone_number": "386-428-2958",
            "fax_number": "386-426-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA & ORTEGA D.M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIRANDA-KNAPP",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-428-2958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.