Elena Cecilia Sanz Miralles, DDS, MS, PHD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS105533 Issued in CA

Practice address

2581 Samaritan Dr Ste 310
San Jose, CA 95124-4112

Phone

(917) 856-1601

NPI assigned

Apr 14, 2016

Last updated

Mar 17, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexandria Dental Center, PLLC

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1093048654
  NPD (past)

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1982058194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 BANNOCKBURN DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208175403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR STE 310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244112",
            "telephone_number": "917-856-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W 168th St",
            "address_2": "Columbia Univ College of Dental Medicine / Periodontics",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323514",
            "country_code": "US",
            "telephone_number": "917-856-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Alexandria Dental Center",
            "address_2": "715 Pendleton St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22314",
            "country_code": "US",
            "telephone_number": "571-970-3783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6303 Little River Tpke Ste 140",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223125045",
            "country_code": "US",
            "telephone_number": "917-856-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANZ MIRALLES",
        "first_name": "ELENA",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "000068",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401415593",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS105533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravenal Santos Jr., RN
• Rizza Fontanilla Santos
• Shamira Mae Santos
• Thomas Santucci, D.C.
• Kainday Tapia Sanu
• Sapana Kothary, a Dental Corporation (Meridian Dental Associates)
• Shane Saputra
• Matthew Saqueton
• Sara E Walker (Hand Rehabilitation & Injury Prevention Services)
• Sara Hamed-Negahdar DDS Dental Corporation

• Periodontics in San Jose, CA
• Providers in San Jose, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.