Individual provider Active NPI

Apolinar Miranda, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1629349634
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32163 Issued in CA
Practice address
532 Redondo Ave
Long Beach, CA 90814-1552
Phone
(562) 439-0419
NPI assigned
Jan 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32163 CA Primary

Addresses

Primary practice location

532 Redondo Ave
Long Beach, CA 90814-1552

Mailing address

16862 Hoskins LN
#3
Huntington Beach, CA 92649-3933
Phone (609) 457-7931

Other names 1

  • Dr. Pol Miranda Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140214000663 NJ Practitioner - Chiropractic 1355570383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Medicine of South Jersey LLCGroup PAC ID 5799111860, 9 clinicians
Active Health Northfield LLCGroup PAC ID 8123548583, 7 clinicians

Practice addresses (Care Compare)

1501 Route 47
Rio Grande, NJ 08242-1401
Phone (609) 224-1576

1612 Tilton Rd
Northfield, NJ 08225-1829
Phone (609) 277-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health Northfield LLC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients
Regenerative Medicine of South Jersey LLC Chiropractor CurrentSince Jun 1, 2024 Accepting new patients

Locations

1612 Tilton Rd
Northfield, NJ 08225
Phone (609) 277-2477

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1629349634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16862 HOSKINS LN",
            "address_2": "#3",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493933",
            "telephone_number": "609-457-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141552",
            "telephone_number": "562-439-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "APOLINAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POL",
            "last_name": "MIRANDA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.