Miraworx of Okc 1 LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

MIRAWORX OF OKC 1 LLC

Practice address

10400 Vineyard Blvd Apt a
Oklahoma City, OK 73120-3830

Phone

(405) 230-1102

NPI assigned

Dec 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. Carolyn Cummins Davies, CPA

Title

Consultant

Phone

(918) 286-7347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1053641803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 VINEYARD BLVD APT A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203830",
            "telephone_number": "405-230-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 VINEYARD BLVD APT A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203830",
            "telephone_number": "405-230-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAWORX OF OKC 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "CUMMINS",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "918-286-7347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arshid Majeed Mir, M.D
• Charles Paul Mirabile Jr., MD
• Miranda Counseling LLC
• Amalia Maria Miranda, MD
• Francis Joseph Miranda, D.D.S, M.ED., M.B.A.
• Scott Mirgeler, PHARM.D,
• Akanksha Mishra
• Jenny Miskel
• Kathryn A Miskovsky, MPT
• Melissa Miskovsky

• Addiction Medicine (Family Medicine) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.