Active NPI
Jose F.S. Miranda, D.M.D.
- General Practice Dentistry
- Chino Hills, CA
National Provider Identifier
1538237953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41482
- Practice address
- 14676 Pipeline Ave.
Ste. Q
Chino Hills, CA 91709-1909 - Phone
- (909) 393-3180
- Fax
- (909) 393-0372
- NPI assigned
- Dec 1, 2006
- Last updated
- Feb 25, 2015
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41482 | CA | Primary |
Addresses
Primary practice location
14676 Pipeline Ave.
Ste. Q
Chino Hills, CA 91709-1909
Mailing address
14676 Pipeline Ave Ste Q
Chino Hills, CA 91709-1918
Phone (909) 393-3180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150828002390 | CA | Order and Referring Only - Dentist | 5092021527 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41482 | CA | MD | General Practice Dentistry |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1538237953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14676 PIPELINE AVE STE Q",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091918",
"telephone_number": "909-393-3180",
"fax_number": "909-393-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14676 PIPELINE AVE.",
"address_2": "STE. Q",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091909",
"telephone_number": "909-393-3180",
"fax_number": "909-393-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "JOSE",
"middle_name": "F.S.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.