Mirando Associates PLLC
Organization Active NPI Chiropractor · Washington, DC
NPI 1376740944 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376740944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH30020 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Dominic Mirando, D.C.
- Title
- President
- Phone
- (202) 244-4444
Practitioners 2
-
Dominick C Mirando, D.C.
-
Larry G Brown, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071107000259 | DC | Part B Supplier - Clinic/Group Practice | 4486741493 |
Receives reassigned benefits from 1 practitioner Practice locations: Washington, DC |
National Provider Directory
Locations
4530 Connecticut Ave NW
Ste 101
Washington, DC 20008
Phone (202) 244-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH30020 | DC | Yes |
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
Other providers in Washington, DC
- Adam Dewald Miramon
- Ramon Miranda Amaya
- Ivonne Marie Miranda
- Kelly Miranda
- Marta Miranda
- Dominick C Mirando
- Jeannine Miranne
- Hallie Ann Mircoff
- Augustine Owusu Mireku-Boateng
- Nicole Ingrid Mires
All providers in Washington, DC · Chiropractor in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.