Miranda Nicole Scholz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7588 Issued in OK

Practice address

5031 E 116TH St N
Sperry, OK 74073-4199

Phone

(918) 288-7695

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miranda Nicole Wilson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 918 Dentist of Sperry, PLLC

  • Public Health Dentistry
  • Sperry, OK
  • NPI 1831081157
  NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1487393153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13318 E 89TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554777",
            "telephone_number": "479-651-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 E 116TH ST N",
            "city": "SPERRY",
            "state": "OK",
            "postal_code": "740734199",
            "telephone_number": "918-288-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLZ",
        "first_name": "MIRANDA",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drs@918dentist.com",
            "affiliation": "N",
            "address_1": "5031 E 116th St N",
            "city": "Sperry",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740734199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "WILSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• General Practice Dentistry in Sperry, OK
• Providers in Sperry, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.