Philip David Miranda, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-916 Issued in HI

Practice address

74-5620 Palani Rd
Ste. 102
Kailua Kona, HI 96740-3640

Phone

(808) 331-1205

Fax

(808) 329-2748

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Miranda Chiropractic

  • Chiropractor
  • Kailua Kona, HI
  • NPI 1982072823
  NPD Authorized official
• Miranda Family Chiropractic LLC

  • Chiropractor
  • Kailua Kona, HI
  • NPI 1093906729
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1831274869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-5620 PALANI RD",
            "address_2": "STE. 102",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403640",
            "telephone_number": "808-331-1205",
            "fax_number": "808-329-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5620 PALANI RD",
            "address_2": "STE. 102",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403640",
            "telephone_number": "808-331-1205",
            "fax_number": "808-329-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "23867-5",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "PM1038195",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Roots Therapy LLC
• Heather Miner, M.D.
• Miranda Chiropractic
• Miranda Family Chiropractic LLC
• Joyce P Miranda, L.M.T.
• Aaron William Misiak, DPT
• Nicole Miyahira, PHARMD
• MKK Healthcare Inc (Kona Family Health Center)
• Mohala Health Incorporated
• Diana Mojica

• Chiropractor in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.