Active NPI
David Anthony Miranda, MD
- Emergency Medicine Physician
- Temple, TX
National Provider Identifier
1487679155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M3026
- Practice address
- 1901 SW H K Dodgen Loop
Temple, TX 76502-1814 - Phone
- (254) 771-8600
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M3026 | TX | Primary |
Addresses
Primary practice location
1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Mailing address
5007 Gregory PL
West Lake Hills, TX 78746-5508
Phone (601) 520-2723
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V2233 | Other | TX | BCBS |
| 8X7458 | Other | TX | BCBS |
| 8V7082 | Other | TX | BCBS |
| 8U4378 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QHG of Hattiesburg Inc | Past | Accepting new patients | |
| Westlake Emergency Physicians, P.a. | Emergency Medicine | Past | Accepting new patients |
| Pine Belt Anesthesia, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- West Lake Hills, TX
- NPI 1396841375
-
- Anesthesiology Physician
- Hattiesburg, MS
- NPI 1831534783
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hattiesburg, MS
- NPI 1326032400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1487679155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 GREGORY PL",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465508",
"telephone_number": "601-520-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SW H K DODGEN LOOP",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021814",
"telephone_number": "254-771-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M3026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8V2233",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8X7458",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8V7082",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8U4378",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.