Individual provider Active NPI

Anthony John Mirando, DC

  • Chiropractor
  • Wolfeboro, NH
National Provider Identifier
1184843146
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1146 Issued in NH
Practice address
26 Bay St
Wolfeboro, NH 03894-4387
Phone
(603) 569-6318
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1146 NH Primary

Addresses

Primary practice location

26 Bay St
Wolfeboro, NH 03894-4387

Mailing address

26 Bay St
Wolfeboro, NH 03894-4387
Phone (603) 569-6318

Other identifiers 1

IdentifierTypeStateIssuer
1146OtherNHCHIROPRACTIC LICENSE

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

LicenseStateTypeSpecialty
1146NHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Ranney Healing Frontiers Chiropractor PastSince Aug 4, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1184843146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BAY ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944387",
            "telephone_number": "603-569-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BAY ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944387",
            "telephone_number": "603-569-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDO",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "1146",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.