Active NPI
Miranda Schoof Lowry, DDS
- Dentist
- Port Orchard, WA
National Provider Identifier
1740384155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9302
- Practice address
- 1565 Woodridge Dr SE
Suite a
Port Orchard, WA 98366 - Phone
- (360) 876-0550
- Fax
- (360) 876-0861
- NPI assigned
- Sep 8, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9302 | WA | Primary |
Addresses
Primary practice location
1565 Woodridge Dr SE
Suite a
Port Orchard, WA 98366
Mailing address
1565 Woodridge Dr SE
Suite a
Port Orchard, WA 98366
Phone (360) 876-0550
Other names 1
- Miranda Jean Schoof
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9302 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costa & Dageenakis Family Dentistry PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Port Orchard, WA
- NPI 1376647743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1740384155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 WOODRIDGE DR SE",
"address_2": "SUITE A",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98366",
"telephone_number": "360-876-0550",
"fax_number": "360-876-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 WOODRIDGE DR SE",
"address_2": "SUITE A",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98366",
"telephone_number": "360-876-0550",
"fax_number": "360-876-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "MIRANDA",
"middle_name": "SCHOOF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "9302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRANDA",
"last_name": "SCHOOF",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.