Active NPI
Kimberly Kathleen Mirra, D.C.
- Chiropractor
- New Castle, DE
National Provider Identifier
1043471550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F1-0000748
- Practice address
- 191 Christiana Rd
Suite 1
New Castle, DE 19720-3024 - Phone
- (302) 328-2656
- Fax
- (302) 328-5870
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010031 | PA | |
| Chiropractor | 111N00000X | F1-0000748 | DE | Primary |
Addresses
Primary practice location
191 Christiana Rd
Suite 1
New Castle, DE 19720-3024
Mailing address
191 Christiana Rd
Suite 1
New Castle, DE 19720-3024
Phone (302) 328-2656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1-0000748 | DE | MD | Chiropractor |
| DC010031 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1043471550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 CHRISTIANA RD",
"address_2": "SUITE 1",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203024",
"telephone_number": "302-328-2656",
"fax_number": "302-328-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 CHRISTIANA RD",
"address_2": "SUITE 1",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203024",
"telephone_number": "302-328-2656",
"fax_number": "302-328-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRRA",
"first_name": "KIMBERLY",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010031",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.