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ESTEFANIA ISABEL MIRANDA DMD
NPI 1639526643
Dentist in York, PA

Active since May 19, 2016Opted out of Medicare · through Mar 20, 2027
1623 RODNEY RD, YORK, PA 17408(717) 764-8541(717) 767-5946 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Estefania Isabel Miranda Dmd NPPES

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

ESTEFANIA ISABEL MIRANDA DMD (NPI 1639526643) is an individual dentist in York, Pennsylvania, licensed in Pennsylvania (DS040793) and active in the NPI registry since May 2016. She has opted out of Medicare through March 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639526643
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameESTEFANIA ISABEL MIRANDACredential: DMD
Location Address1623 RODNEY RDYork, PA 17408-9106
Mailing Address1623 Rodney RdYork, PA 17408-9106 · (717) 764-8541 · Fax (717) 767-5946
Phone(717) 764-8541
Fax(717) 767-5946
Sole ProprietorNo
Enumeration DateMay 19, 2016
✔ NPI 1639526643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS040793
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.
1623 RODNEY RD, York, PA 17408
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Estefania Isabel Miranda Dmd 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 March 20, 2025 through March 20, 2027.

Opt-Out Effective DateMarch 20, 2025
Opt-Out In Effect ThroughMarch 20, 2027Opt-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 17408 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

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

DENTAL PROFESSIONALS OF PENNSYLVANIA P C
Dentist (General Practice)
1623 RODNEY RD
YORK, PA 17408
York County (717) 764-8541

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 Estefania Miranda's NPI number?

The NPI number for Estefania Miranda is 1639526643. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Estefania Miranda located?

Estefania Miranda practices at 1623 Rodney Rd, York, PA 17408. The listed phone number is (717) 764-8541.

What is Estefania Miranda's specialty?

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

Is Estefania Miranda enrolled in Medicare?

No. Estefania Miranda has opted out of Medicare through March 20, 2027. 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.

What insurance does Estefania Miranda accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 2 other insurers list Estefania Miranda 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 Estefania Miranda was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.