Miranda Olivia Hicks, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00204667 Issued in CO

Practice address

1960 N. Ogden St
Ste 260
Denver, CO 80218

Phone

(303) 529-6329

NPI assigned

Apr 10, 2020

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1750900742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 GALENA ST.",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80010",
            "telephone_number": "206-769-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 N. OGDEN ST",
            "address_2": "STE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80218",
            "telephone_number": "303-529-6329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13065 E 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452532",
            "country_code": "US",
            "telephone_number": "303-724-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MIRANDA",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Hicks, BSN, RN
• Christopher M Hicks, MD
• Katherine Elise Hicks
• Laurel M Hicks, LMSW
• Milissa Hicks
• Sarah Hicks, FNP-C
• Timothy Ryan Hicks, MS, LPC, LMFT
• Westley Hicks, ACSM - RCEP
• Jeanne Hickson, OTR/L
• Sonya Hickson

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.