Mishra DDS Incorporated

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MISHRA DDS INCORPORATED

Practice address

177 W El Portal Dr Ste a
Merced, CA 95348-2848

Phone

(209) 383-9222

NPI assigned

Jan 25, 2021

Last updated

Apr 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ranu MishraNPI 1457480295

Title

Owner

Phone

(209) 383-9222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ranu M Mishra, DDS, M.S

  • Prosthodontics
  • Merced, CA
  • NPI 1457480295

  Customized Equipment

  NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1649860545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W EL PORTAL DR STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482848",
            "telephone_number": "209-383-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W EL PORTAL DR STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482848",
            "telephone_number": "209-383-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHRA DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "RANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-383-9222"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Miramontes
• Irene Miranda-Henson, RN
• Victoria Isabel Miranda
• Jessica Mireles
• Joshua Nathaniel Mireles, MPH
• Ranu M Mishra, DDS, M.S
• Jaideep Misra, MD
• Mission Gardens Facility
• Mission Merced Incorporated (Mission Merced)
• My-Leka Zsanae Mitchell

• Customized Equipment (DME) in Merced, CA
• Providers in Merced, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.