Sandra Miranda, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

6781179-0701 Issued in UT

Practice address

1388 S Navajo St
Salt Lake City, UT 84104-3493

Phone

(019) 552-3608

Fax

(801) 746-0420

NPI assigned

Mar 12, 2019

Sex

Female

Sole proprietor

No

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

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1982162657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S 3270 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191119",
            "telephone_number": "385-261-2737",
            "fax_number": "017-460-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 S NAVAJO ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043493",
            "telephone_number": "019-552-3608",
            "fax_number": "801-746-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "SANDRA",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "UT",
            "license": "6781179-0701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Mintz, DR
• Michael James Minutella
• Sophia Marcella Minutoli
• Alondra Miranda
• Emily Elizabeth Miranda, LCSW
• Daniel Mirci, DMD
• Joseph G Mirci, DDS, MAGD
• Misty Mireless
• Paulo H. Miro, MD
• Susan M Mirow, PHD, MD

• Dental Hygienist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dental Hygienist in Utah

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

Verify at the official NPI Registry.