DR. JUSTIN CHARLES MIRANDE D.D.S.
NPI 1760829774
Dentist in Vista, CA

Q: What is Justin Mirande's NPI number?

The NPI number for Justin Mirande is 1760829774. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is Justin Mirande'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 Justin Mirande was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 30, 2013PECOS Enrolled

1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000(760) 414-3892 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Justin Charles Mirande D.d.s. NPPES

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

DR. JUSTIN CHARLES MIRANDE D.D.S. (NPI 1760829774) is an individual dentist in Vista, California, licensed in California (DDS107398) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760829774

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JUSTIN CHARLES MIRANDECredential: D.D.S.

Location Address1000 VALE TERRACE DRVista, CA 92084-5218

Mailing Address256 AmbroiseNewport Coast, CA 92657-0130 · (423) 321-9489

Phone(760) 631-5000

Fax(760) 414-3892

Sole ProprietorNo

Enumeration DateMay 30, 2013

Last NPPES UpdateAugust 21, 2023

NPPES CertifiedAugust 21, 2023

✔ NPI 1760829774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · DDS107398✔ Licensed in AZ · D008719

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019030118 (IL), 9920 (TN)

1000 VALE TERRACE DR, Vista, CA 92084

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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Dr. Justin Charles Mirande D.d.s. 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 92084 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.

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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.

CHRISTINE DOUGHERTY LCSW

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