Individual provider Active NPI

Cecilia Miranda-Oglesby, DDS

  • General Practice Dentistry
  • Loma Linda, CA
National Provider Identifier
1700445152
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103752 Issued in CA
Practice address
24584 Loma Vista Dr
Loma Linda, CA 92354-3332
Phone
(805) 587-4194
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103752 CA Primary

Addresses

Primary practice location

24584 Loma Vista Dr
Loma Linda, CA 92354-3332

Mailing address

24584 Loma Vista Dr
Loma Linda, CA 92354-3332
Phone (805) 587-4194

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

Interoperability endpoints

  • Direct secure messaging: cmirandaoglesby407172@direct.llu.edu

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1700445152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24584 LOMA VISTA DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543332",
            "telephone_number": "805-587-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24584 LOMA VISTA DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543332",
            "telephone_number": "805-587-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-OGLESBY",
        "first_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.