Organization Active NPI

Miranda Chiropractic Specialty Group Inc.

Doing business as Chiropractic Specialty Group

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1184953721
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25256 Issued in CA
Legal business name
MIRANDA CHIROPRACTIC SPECIALTY GROUP INC.
Doing business as
Chiropractic Specialty Group
Practice address
9855 Erma Rd
Suite 129
San Diego, CA 92131-3001
Phone
(858) 549-1541
Fax
(858) 549-1572
NPI assigned
Dec 10, 2009
Last updated
May 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Dr. Raymund Gallanosa Miranda, D.C.NPI 1114149226
Title
President
Phone
(619) 846-5866

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
Chiropractor 111N00000X DC25256 CA Primary

Addresses

Primary practice location

9855 Erma Rd
Suite 129
San Diego, CA 92131-3001

Mailing address

9855 Erma Rd
Suite 129
San Diego, CA 92131-3001
Phone (858) 549-1541

Other names 1

  • Chiropractic Specialty Group Doing business as

National Provider Directory

National Provider Directory

Locations

9855 Erma Rd
Ste 129
San Diego, CA 92131
Phone (858) 549-1541

Practitioners & affiliated clinicians

Practitioners 1

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": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1184953721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD",
            "address_2": "SUITE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313001",
            "telephone_number": "858-549-1541",
            "fax_number": "858-549-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD",
            "address_2": "SUITE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313001",
            "telephone_number": "858-549-1541",
            "fax_number": "858-549-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA CHIROPRACTIC SPECIALTY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RAYMUND",
        "authorized_official_middle_name": "GALLANOSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-846-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.