Organization Active NPI

Mirando Associates PLLC

  • Chiropractor
  • Washington, DC
National Provider Identifier
1376740944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH30020 Issued in DC
Legal business name
MIRANDO ASSOCIATES PLLC
Practice address
4530 Connecticut Ave NW
Suite 101
Washington, DC 20008-4328
Phone
(202) 244-4444
Fax
(202) 244-4439
NPI assigned
Jun 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dominic Mirando, D.C.
Title
President
Phone
(202) 244-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH30020 DC Primary

Addresses

Primary practice location

4530 Connecticut Ave NW
Suite 101
Washington, DC 20008-4328

Mailing address

4530 Connecticut Ave NW
Suite 101
Washington, DC 20008-4328
Phone (202) 244-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000259 DC Part B Supplier - Clinic/Group Practice 4486741493 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

4530 Connecticut Ave NW
Ste 101
Washington, DC 20008
Phone (202) 244-4444

Practitioners & affiliated clinicians

Practitioners 2

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376740944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 CONNECTICUT AVE NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084328",
            "telephone_number": "202-244-4444",
            "fax_number": "202-244-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 CONNECTICUT AVE NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084328",
            "telephone_number": "202-244-4444",
            "fax_number": "202-244-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDO ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRANDO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-244-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH30020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.