Organization Active NPI

Miranda Family Chiropractic LLC

  • Chiropractor
  • Kailua Kona, HI
National Provider Identifier
1093906729
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
916 Issued in HI
Legal business name
MIRANDA FAMILY CHIROPRACTIC LLC
Practice address
75-5591 Palani Rd
Suite 207
Kailua Kona, HI 96740-3631
Phone
(808) 327-3070
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Philip D Miranda, D.C.NPI 1831274869
Title
President
Phone
(808) 327-3070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 916 HI Primary

Addresses

Primary practice location

75-5591 Palani Rd
Suite 207
Kailua Kona, HI 96740-3631

Mailing address

75-5591 Palani Rd
Suite 207
Kailua Kona, HI 96740-3631
Phone (808) 327-3070

Other identifiers 1

IdentifierTypeStateIssuer
PM1038195OtherHIASHN

National Provider Directory

National Provider Directory

Locations

75-5591 Palani Rd
Ste 207
Kailua Kona, HI 96740
Phone (808) 327-3070

76-6225 Kuakini Hwy
Ste B102
Kailua Kona, HI 96740
Phone (808) 327-3070

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1093906729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD",
            "address_2": "SUITE 207",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403631",
            "telephone_number": "808-327-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD",
            "address_2": "SUITE 207",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403631",
            "telephone_number": "808-327-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-327-3070",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "PM1038195",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.