MIRANDA ALISE JIMENEZ DDS
NPI 1861912578
Dentist in Kansas City, MO

Q: What is Miranda Jimenez's NPI number?

The NPI number for Miranda Jimenez is 1861912578. It was assigned to this individual provider in the NPPES registry on June 23, 2017. The provider is also known as Miranda Alise Tucker.

Q: What is Miranda Jimenez'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 Miranda Jimenez was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 23, 2017

2121 SUMMIT ST, KANSAS CITY, MO 64108(816) 429-2145 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 5, 2018, Jun 23, 2017 (2 updates tracked since 2017).

On this page

About Miranda Alise Jimenez Dds NPPES

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

MIRANDA ALISE JIMENEZ DDS (NPI 1861912578) is an individual dentist in Kansas City, Missouri, licensed in Missouri (2017021249) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1861912578

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMIRANDA ALISE JIMENEZCredential: DDS

Location Address2121 SUMMIT STKansas City, MO 64108-2126

Mailing Address2121 Summit StKansas City, MO 64108-2126 · (816) 983-5937

Phone(816) 429-2145

Sole ProprietorNo

Enumeration DateJune 23, 2017

Last NPPES UpdateOctober 5, 20182 updates tracked since enumeration

✔ NPI 1861912578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2017021249

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.

2121 SUMMIT ST, Kansas City, MO 64108

Open in Google Maps ↗

Other Names 1

Former Name (1)Miranda Alise Tucker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

SAMUEL U. RODGERS HEALTH CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))