Organization Active NPI

Jason E. Mireles

  • Foot Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1750394243
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1726 Issued in TX
Legal business name
JASON E. MIRELES
Practice address
2430 W Mistletoe Ave
San Antonio, TX 78228-5311
Phone
(210) 733-7179
Fax
(210) 824-1813
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Jason E Mireles, DPMNPI 1255386736
Title
Podiatrist
Phone
(210) 387-6231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 1726 TX Primary

Addresses

Primary practice location

2430 W Mistletoe Ave
San Antonio, TX 78228-5311

Mailing address

2430 W Mistletoe Ave
San Antonio, TX 78228-5311
Phone (210) 733-7179

Other names 1

  • Mireles Poditary Clinic Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1750394243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 W MISTLETOE AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285311",
            "telephone_number": "210-733-7179",
            "fax_number": "210-824-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W MISTLETOE AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285311",
            "telephone_number": "210-733-7179",
            "fax_number": "210-824-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON E. MIRELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "MIRELES",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "210-387-6231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mireles Poditary Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.