NPIMap

Organization Active NPI

Therese Singson Miranda DDS PC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1447528278
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25501 Issued in TX
Legal business name
THERESE SINGSON MIRANDA DDS PC
Practice address
5975 FM 78
Suite 100
San Antonio, TX 78244-1003
Phone
(210) 661-4211
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Ms. Lou Ann Zerger
Title
Manager
Phone
(210) 661-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 25501 TX Primary

Addresses

Primary practice location

5975 FM 78
Suite 100
San Antonio, TX 78244-1003

Mailing address

5975 FM 78
Suite 100
San Antonio, TX 78244-1003
Phone (210) 661-4211

Other identifiers 1

IdentifierTypeStateIssuer
1447570510OtherTXNPI TYPE 1-INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

5975 FM 78
Ste 100
San Antonio, TX 78244
Phone (210) 661-4211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1447528278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 FM 78",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441003",
            "telephone_number": "210-661-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 FM 78",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441003",
            "telephone_number": "210-661-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESE SINGSON MIRANDA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "ZERGER",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-661-4211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1-INDIVIDUAL",
            "identifier": "1447570510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.