Miracle Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIRACLE MEDICAL SUPPLY INC.

Practice address

8857 Commerce Park PL
A
Indianapolis, IN 46268-3170

Phone

(317) 876-5840

Fax

(317) 876-5841

NPI assigned

Jun 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Katherine Chanell White

Title

President

Phone

(317) 876-5840

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1053549030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8857 COMMERCE PARK PL",
            "address_2": "A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683170",
            "telephone_number": "317-876-5840",
            "fax_number": "317-876-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 COMMERCE PARK PL",
            "address_2": "A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683170",
            "telephone_number": "317-876-5840",
            "fax_number": "317-876-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "CHANELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-876-5840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caley F Mintz, DDS
• Edward Paul Mintz, MD
• Mallory N Minyard, NP
• Mira Homecare Services LLC
• Miracle Hands Home Care Agency LLC.
• Miracle Touch Home Care Services LLC
• Miracle Works LTD.
• Savanna Marie Miracle
• Charles Miramonti, M.D.
• Milagros Erica Miranda Delgado, DDS

• Durable Medical Equipment & Medical Supplies in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.