Neda Mirmiran DPM

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

NEDA MIRMIRAN DPM

Doing business as

Mobile Podiatry Solutions

Practice address

6500 Champion Grandview Way Apt 26006
Austin, TX 78750-8397

Phone

(512) 705-5856

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Neda Mirmiran, DPM

Title

Owner

Phone

(512) 705-5856

Specialties & licenses 1

Addresses

Other names 1

• Mobile Podiatry Solutions Doing business as

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1265273346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CHAMPION GRANDVIEW WAY APT 26006",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CHAMPION GRANDVIEW WAY APT 26006",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508397",
            "telephone_number": "512-705-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA MIRMIRAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "MIRMIRAN",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-705-5856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Podiatry Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tracy Alicia Needom
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• Podiatric Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Podiatric Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.