Miran Ho, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D008566 Issued in AZ

Practice address

3440 E Baseline Rd Ste 106
Mesa, AZ 85204-7247

Phone

(480) 926-2350

NPI assigned

Aug 24, 2012

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 identifiers 1

Other names 1

• Miran H. Forsyth Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mesa Modern Dentistry, LLP

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1477821460
  NPD (past)

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1659629624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047247",
            "telephone_number": "480-926-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047247",
            "telephone_number": "480-926-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "MIRAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-24",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D008566",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRAN",
            "last_name": "FORSYTH",
            "middle_name": "H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Hix
• Kimberlee Hope Hjelmeland
• Hannah Hjuguna
• Elvin Ho, O.D.
• Emily T Ho, MD
• Nhung Ho, PHARMD
• Tammy Ho
• Tan Ho
• Victoria Ho, PHARMD
• Anya Hoagland, PHARMD

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.

Verify at the official NPI Registry.