MIRA CONSULTING INCORPORATED NPI 1609908763

NPI Information

  • NPI: 1609908763
  • Provider Name: MIRA CONSULTING, INCORPORATED
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Organization
  • Address: 4100 HAWKINS ST NE STE A
    ALBUQUERQUE, NM
    ZIP 87109
  • Phone: (505) 898-2797

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NPI Details

MIRA CONSULTING, INCORPORATED is a dental public health dentist in Albuquerque, NM. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. MIRA CONSULTING, INCORPORATED NPI is 1609908763. The provider is registered as an organization entity type.

The provider's business location address is:

4100 HAWKINS ST NE STE A
ALBUQUERQUE, NM
ZIP 87109-531
Phone: (505) 898-2797

The provider's authorized official is Daniel E. Mirabal .
The authorized official title is Ceo and has the following contact phone number (505) 898-2797.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareNo
21223D0001XDentistDental Public HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S2785MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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