Miranda Thacker, DDS
NPI 1710876578 · Pediatric Dentistry · Minneapolis, MN
Enrolled with Medicare as Order and Referring Only - Pediatric Dentistry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miranda Thacker, DDS is a Pediatric Dentistry provider in Minneapolis, MN (NPI 1710876578).
Provider details
- NPI number
- 1710876578
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- D15303 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-28
- Last updated
- 2025-06-28
- Certified
- 2025-06-28
Frequently asked questions
- What is Miranda Thacker's NPI number?
- Miranda Thacker's National Provider Identifier (NPI) is 1710876578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miranda Thacker's specialty?
- Miranda Thacker is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Miranda Thacker located?
- Miranda Thacker's practice location on file with NPPES is 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443.
- What is Miranda Thacker's phone number?
- The practice phone number listed in the NPPES registry for Miranda Thacker is (612) 626-7232.
- Does Miranda Thacker accept Medicare?
- Miranda Thacker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miranda Thacker's NPI active?
- Yes — Miranda Thacker's NPI (1710876578) is active in the NPPES registry as of the last update on 2025-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.