Miranda Cox
Individual provider Active NPI Specialist · Bismarck, ND
NPI 1740057512 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1740057512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 4503 Coleman St Ste 203
Bismarck, ND 58503-2017 - Phone
- (218) 287-4338
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
4503 Coleman St Ste 203
Bismarck, ND 58503-2017
Mailing address
1547 30TH Ave S
Moorhead, MN 56560-5149
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.