Miracles Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MIRACLES DENTAL

Doing business as

PRIME DENTAL CARE

Practice address

805 W la Veta Ave Ste 210
Orange, CA 92868-3929

Phone

(714) 639-6666

Fax

(714) 660-1505

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Peter Bishay, DMDNPI 1629005335

Title

Owner & Ceo

Phone

(714) 639-6666

Specialties & licenses 1

Addresses

Other names 1

• PRIME DENTAL CARE Doing business as

Tax ID family

Miracles Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Miracles Dental

  • General Practice Dentistry
  • Orange, CA
  • NPI 1881522191
  NPD tax ID

Locations

Practitioners 1

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

• Peter N Bishay, DMD

  • Dentist
  • Orange, CA
  • NPI 1629005335
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1619721701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 210",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683929",
            "telephone_number": "714-639-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 210",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683929",
            "telephone_number": "714-639-6666",
            "fax_number": "714-660-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41715 Winchester Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925904854",
            "country_code": "US",
            "telephone_number": "951-695-0310",
            "fax_number": "714-660-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRACLES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BISHAY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "714-639-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Daniel Mintz
• Virginia A Mintzlaff, M.S.,LMFT
• Monica Mir, D.C.
• Sabrina Yasmeen Mir, MD
• Christa M Mirabal, BSN, RN
• Miracles Dental
• Arman Mirai, D.D.S
• Alexandra Miralles Bolivar
• Miramadi Chiropractic a Professional Corporation
• Mandana Miramadi, D.C.

• Dental Clinic/Center in Orange, CA
• Providers in Orange, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.