Active NPI
Mira Consulting, Incorporated
- Public Health Dentistry
- Albuquerque, NM
National Provider Identifier
1609908763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- Legal business name
- MIRA CONSULTING, INCORPORATED
- Practice address
- 4100 Hawkins St NE Ste a
Albuquerque, NM 87109-4531 - Phone
- (505) 898-2797
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel E. Mirabal
- Title
- Ceo
- Phone
- (505) 898-2797
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | Primary | ||
| Public Health or Welfare Agency | 251K00000X |
Addresses
Primary practice location
4100 Hawkins St NE Ste a
Albuquerque, NM 87109-4531
Mailing address
4100 Hawkins St NE Ste a
Albuquerque, NM 87109-4531
Phone (505) 898-2797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S2785 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
4100 Hawkins St NE
Ste A
Albuquerque, NM 87109
Phone (505) 898-2797
6808 Academy Parkway East NE
Ste A2
Albuquerque, NM 87109
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Albuquerque, NM
- NPI 1780807131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1609908763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 HAWKINS ST NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094531",
"telephone_number": "505-898-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 HAWKINS ST NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094531",
"telephone_number": "505-898-2797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRA CONSULTING, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MIRABAL",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-898-2797"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S2785",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.