Active NPI
Mira Gandhi, DDS
- Dentist
- Hoover, AL
National Provider Identifier
1588402093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.007362-C1
- Practice address
- 202 Inverness Center Dr Ste 301
Hoover, AL 35242-7636 - Phone
- (205) 991-8939
- NPI assigned
- Jul 18, 2024
- Last updated
- Nov 22, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D.007362-C1 | AL | Primary |
Addresses
Primary practice location
202 Inverness Center Dr Ste 301
Hoover, AL 35242-7636
Mailing address
2900 7TH Ave S Apt 221
Birmingham, AL 35233-2938
Phone (706) 987-3421
Other practice location 1
310 The Mall Way
Jasper, AL 35504-7514
Phone (205) 221-5610
Other practice location 2
1598 Montgomery Hwy
Vestavia Hills, AL 35216-4525
Phone (205) 582-8570
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 |
|---|---|---|---|
| D.007362-C1 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1588402093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 7TH AVE S APT 221",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332938",
"telephone_number": "706-987-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 INVERNESS CENTER DR STE 301",
"city": "HOOVER",
"state": "AL",
"postal_code": "352427636",
"telephone_number": "205-991-8939"
}
],
"practiceLocations": [
{
"address_1": "310 The Mall Way",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "AL",
"postal_code": "355047514",
"country_code": "US",
"telephone_number": "205-221-5610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1598 Montgomery Hwy",
"address_purpose": "LOCATION",
"city": "Vestavia Hills",
"state": "AL",
"postal_code": "352164525",
"country_code": "US",
"telephone_number": "205-582-8570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHI",
"first_name": "MIRA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007362-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.