Atila Campos Miranda, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN20763 Issued in FL

Practice address

499 E Central Pkwy
Suite 220
Altamonte Springs, FL 32701-3402

Phone

(407) 831-4008

NPI assigned

Feb 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Oral Plastic Surgery Assoc PA

  • General Practice Dentistry
  • Altamonte Springs, FL
  • NPI 1568586915
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1861533911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY",
            "address_2": "SUITE 220",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013402",
            "telephone_number": "407-831-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY",
            "address_2": "SUITE 220",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013402",
            "telephone_number": "407-831-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ATILA",
        "middle_name": "CAMPOS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Milton
• Kristina Mineo, CASE MANAGER
• Andre Minott
• Amber Minton
• Lisa F Minton, MD
• Sandra Isabel Miranda
• Leah Michelle Missal, COTA
• Cassidy Mitcheli
• April M Mitchell, MT
• Cordell Mitchell, M.D.

• Dentist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.