NPIMap

Organization Active NPI

Miimii Thae DPM, P.a

Doing business as Miimii Thae

  • Podiatric Clinic/Center
  • Homestead, FL
National Provider Identifier
1962247973
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
MIIMII THAE DPM, P.A
Doing business as
Miimii Thae
Practice address
381 N Krome Ave Ste 112
Homestead, FL 33030-6047
Phone
(305) 246-4774
Fax
(305) 248-4086
NPI assigned
Jul 1, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Miimii Thae, DPMNPI 1134797905
Title
President /Owner
Phone
(305) 496-0596

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
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

381 N Krome Ave Ste 112
Homestead, FL 33030-6047

Mailing address

4236 SW 124TH Ter
Miramar, FL 33027-6009
Phone (305) 496-0596

Other practice location 1

7407 Miami Lakes Dr
Miami Lakes, FL 33014-6818
Phone (305) 827-0712

Other identifiers 1

IdentifierTypeStateIssuer
PO4559OtherFLPODIATRIC PHYSICIAN LICENSE

Other names 2

  • Miimii Thae Doing business as
  • MTHAE.INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1962247973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 SW 124TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276009",
            "telephone_number": "305-496-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 N KROME AVE STE 112",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306047",
            "telephone_number": "305-246-4774",
            "fax_number": "305-248-4086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7407 Miami Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330146818",
            "country_code": "US",
            "telephone_number": "305-827-0712",
            "fax_number": "305-827-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIIMII THAE DPM, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "THAE",
        "authorized_official_first_name": "MIIMII",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "305-496-0596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC PHYSICIAN LICENSE",
            "identifier": "PO4559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miimii Thae",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MTHAE.INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.