Organization Active NPI

Mirae Trading Co.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1538309554
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0109183 Issued in TX
Legal business name
MIRAE TRADING CO.
Practice address
2527 Royal LN Ste 140
Dallas, TX 75229-3430
Phone
(214) 417-9269
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Mrs. Mi Ja Son
Title
Owner
Phone
(214) 417-9269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0109183 TX Primary

Addresses

Primary practice location

2527 Royal LN Ste 140
Dallas, TX 75229-3430

Mailing address

2527 Royal LN Ste 140
Dallas, TX 75229-3430
Phone (214) 417-9269

Other names 1

  • ah Doing business as

National Provider Directory

National Provider Directory

Locations

2527 Royal Ln
Ste 140
Dallas, TX 75229
Phone (214) 417-9269

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1538309554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 ROYAL LN STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293430",
            "telephone_number": "214-417-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 ROYAL LN STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293430",
            "telephone_number": "214-417-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAE TRADING CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "MI",
        "authorized_official_middle_name": "JA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-417-9269",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0109183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.