MIRTHA MYREYA GOMEZ DDS
NPI 1124177761
Dentist in San Diego, CA

Q: What is Mirtha Gomez's NPI number?

The NPI number for Mirtha Gomez is 1124177761. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Mirtha Gomez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mirtha Gomez was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2007PECOS Enrolled

3544 30TH ST, SAN DIEGO, CA 92104(619) 515-2424 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mirtha Myreya Gomez Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRTHA MYREYA GOMEZ DDS (NPI 1124177761) is an individual dentist in San Diego, California, licensed in California (50407) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124177761

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMIRTHA MYREYA GOMEZCredential: DDS

Location Address3544 30TH STSan Diego, CA 92104-4120

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2323

Phone(619) 515-2424

Sole ProprietorNo

Enumeration DateJanuary 10, 2007

Last NPPES UpdateOctober 19, 2017

✔ NPI 1124177761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 50407

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3544 30TH ST, San Diego, CA 92104

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Other Identifiers 1

Other50407CA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirtha Myreya Gomez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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