DR. RICHARD M. MIRRA DDS
NPI 1578668349
Dentist - Oral and Maxillofacial Surgery in Rockville Centre, NY

Q: What is Richard Mirra's NPI number?

The NPI number for Richard Mirra is 1578668349. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Richard Mirra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Richard Mirra enrolled in Medicare?

No. Richard Mirra has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Richard Mirra was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 14, 2006Opted out of Medicare · through Jan 25, 2028

24 MAPLE AVE, SUITE 6, ROCKVILLE CENTRE, NY 11570(516) 766-0580(516) 766-6755 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Richard M. Mirra Dds NPPES

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

DR. RICHARD M. MIRRA DDS (NPI 1578668349) is an individual oral and maxillofacial surgery provider in Rockville Centre, New York, licensed in New York (049891) and active in the NPI registry since September 2006. He has opted out of Medicare through January 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578668349

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. RICHARD M. MIRRACredential: DDS

Location Address24 MAPLE AVE, SUITE 6Rockville Centre, NY 11570

Mailing Address24 Maple Ave, Suite 6Rockville Centre, NY 11570 · (516) 766-0580 · Fax (516) 766-6755

Phone(516) 766-0580

Fax(516) 766-6755

Sole ProprietorNo

Enumeration DateSeptember 14, 2006

Last NPPES UpdateSeptember 7, 2011

✔ NPI 1578668349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NY · 049891

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

24 MAPLE AVE, Rockville Centre, NY 11570

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard M. Mirra Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 25, 2022 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2022

Opt-Out In Effect ThroughJanuary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 8

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

DR. MITCHELL MYLES RUBIN DMD

Dentist (Oral and Maxillofacial Surgery)

24 MAPLE AVE, SUITE 6
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-0580

DR. RICHARD S. KRAUSS D.M.D.

Dentist (Periodontics)

24 MAPLE AVE, SUITE #4
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-0986

DR. FRANCIS JAMES MURPHY DDS

Oral & Maxillofacial Surgery

24 MAPLE AVE, STE 6 MAPLE MEDICAL CENTER
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-0580

DR. STEVEN VERVENIOTIS DDS

Dentist (Oral and Maxillofacial Surgery)

24 MAPLE AVE, SUITE 6
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-0580

BURTON J GLASS MD PC

Surgery

24 MAPLE AVE
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 536-3737

BITTON ORTHODONTICS, PLLC

Dentist (Orthodontics and Dentofacial Orthopedics)

24 MAPLE AVE, SUITE 3
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-0012

MR. RICHARD LAWRENCE RUDDY DDS

Dentist

24 MAPLE AVE, SUITE 1
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 764-5800

SOUTH SHORE ORAL SURGERY ASSOC PC

Oral & Maxillofacial Surgery

24 MAPLE AVE, SOUTH SHORE ORAL SURGERY ASSOC PC SUITE 6
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-0580

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 Richard Mirra's NPI number?

The NPI number for Richard Mirra is 1578668349. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Richard Mirra located?

Richard Mirra practices at 24 Maple Ave Suite 6, Rockville Centre, NY 11570. The listed phone number is (516) 766-0580.

What is Richard Mirra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Richard Mirra enrolled in Medicare?

No. Richard Mirra has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Richard Mirra was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.