Active NPI
Denise Lizbeth Miranda
- Chiropractor
- Lancaster, CA
National Provider Identifier
1164915237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33240
- Practice address
- 1028 W Avenue L12 Ste 103
Lancaster, CA 93534-7089 - Phone
- (661) 524-4762
- NPI assigned
- Jun 12, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 33240 | CA | |
| Chiropractor | 111N00000X | 33240 | CA | Primary |
Addresses
Primary practice location
1028 W Avenue L12 Ste 103
Lancaster, CA 93534-7089
Mailing address
39342 Fostoria CT
Palmdale, CA 93551-1068
Phone (166) 186-0098
Other practice location 1
3022 W Avenue L
Lancaster, CA 93536-4036
Phone (661) 722-8183
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33240 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLean Acupuncture, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Lancaster, CA
- NPI 1891555058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1164915237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39342 FOSTORIA CT",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511068",
"telephone_number": "166-186-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 W AVENUE L12 STE 103",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935347089",
"telephone_number": "661-524-4762"
}
],
"practiceLocations": [
{
"address_1": "3022 W Avenue L",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935364036",
"country_code": "US",
"telephone_number": "661-722-8183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "DENISE",
"middle_name": "LIZBETH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CA",
"license": "33240",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.