Individual provider Active NPI

Miranda Cole Lacy, D.D.S.

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1992961866
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19395 Issued in TX
Practice address
3604 Preston Rd
Suite #400
Plano, TX 75093-8629
Phone
(972) 312-0000
Fax
(972) 312-0600
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19395 TX Primary

Addresses

Primary practice location

3604 Preston Rd
Suite #400
Plano, TX 75093-8629

Mailing address

3604 Preston Rd
Suite #400
Plano, TX 75093-8629
Phone (972) 312-0000

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

LicenseStateTypeSpecialty
19395TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Hagen DDS & Miranda Lacy DDS 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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1992961866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 PRESTON RD",
            "address_2": "SUITE #400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938629",
            "telephone_number": "972-312-0000",
            "fax_number": "972-312-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 PRESTON RD",
            "address_2": "SUITE #400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938629",
            "telephone_number": "972-312-0000",
            "fax_number": "972-312-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "MIRANDA",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.