NPIMap

Organization Active NPI

Miranov Chiropractic

  • Chiropractor
  • Enid, OK
National Provider Identifier
1245650589
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4061 Issued in OK
Legal business name
MIRANOV CHIROPRACTIC
Practice address
109 E Broadway Ave
Enid, OK 73701-4117
Phone
(580) 540-9630
Fax
(580) 540-9631
NPI assigned
Apr 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Dr. Jason Brent Miranov, D.C.
Title
Owner/Chiropractor
Phone
(580) 540-9630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4061 OK Primary

Addresses

Primary practice location

109 E Broadway Ave
Enid, OK 73701-4117

Mailing address

109 E Broadway Ave
Enid, OK 73701-4117
Phone (580) 540-9630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1245650589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E BROADWAY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014117",
            "telephone_number": "580-540-9630",
            "fax_number": "580-540-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E BROADWAY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014117",
            "telephone_number": "580-540-9630",
            "fax_number": "580-540-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANOV CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MIRANOV",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "580-540-9630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.