Active NPI
Cecilia Miranda-Oglesby, DDS
- General Practice Dentistry
- Loma Linda, CA
National Provider Identifier
1700445152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 103752
- 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
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 |
|---|---|---|---|---|
| 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
- 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.