Federico Carlos De Miranda, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C-5393 Issued in AR

Practice address

7303 Rogers Ave
Suite 200
Fort Smith, AR 72903-4165

Phone

(479) 314-4810

Fax

(479) 314-2075

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: fdemiranda124934@directb.mercy.net

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1831152495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 ROGERS AVE",
            "address_2": "SUITE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034165",
            "telephone_number": "479-314-4810",
            "fax_number": "479-314-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 ROGERS AVE",
            "address_2": "SUITE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034165",
            "telephone_number": "479-314-4810",
            "fax_number": "479-314-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MIRANDA",
        "first_name": "FEDERICO",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C-5393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150597002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CORP #",
            "identifier": "F31893",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105837001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND. #",
            "identifier": "5-1332",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Danielle Dawson, MS, CCC-SLP
• Amanda Day, APRN, FNP-C
• DB Performance Consulting
• DB PLLC
• Francis Cyril Hatol De Guzman
• Thomas Benjamin De Miranda, M.D.
• Gena Marie Deakins
• Claudia Dean
• Desiree Melissa Dean, COTA/L
• Kristina M Dean, APRN, FNP-BC

• Pediatrics Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.