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CARLOS J MIRO DDS
NPI 1386626554
Dentist - General Practice in Kenosha, WI

Active since November 15, 2005PECOS Enrolled
4536 22ND AVE, KENOSHA, WI 53140(262) 656-0044(262) 653-2218 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos J Miro Dds NPPES

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

CARLOS J MIRO DDS (NPI 1386626554) is an individual general practice provider in Kenosha, Wisconsin, licensed in Wisconsin (4641-015) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386626554
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCARLOS J MIROCredential: DDS
Location Address4536 22ND AVEKenosha, WI 53140-5917
Mailing Address821 S 57th StWest Allis, WI 53214-3333 · (414) 302-9468
Phone(262) 656-0044
Fax(262) 653-2218
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1386626554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 4641-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4536 22ND AVE, Kenosha, WI 53140
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Other Identifiers 1

Medicaid33725700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, 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)

Carlos J Miro 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 53140 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

DR. CESAR D GONZALEZ DDS
Dentist (Pediatric Dentistry)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DIANE E KOSAR
Dental Hygienist
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. HAZEL E MOORE DDS
Dentist (General Practice)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. MICHAEL MATTHEW MIHAJLOVIC PSYD
Psychologist (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
MANUEL A. RIVERA M.D.
Internal Medicine
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
FAYA KACOS-SHIU LCSW
Social Worker (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
CASSANDRA GILLEN LPC
Counselor (Professional)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
KENOSHA COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Miro's NPI number?

The NPI number for Carlos Miro is 1386626554. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Carlos Miro located?

Carlos Miro practices at 4536 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 656-0044.

What is Carlos Miro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Carlos Miro enrolled in Medicare?

Yes. Carlos Miro is registered in the Medicare PECOS enrollment system.

What insurance does Carlos Miro accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Carlos Miro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Miro was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.