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MR. IVAN MIRANDA PA-C
NPI 1003547670
Physician Assistant - Medical in Addison, TX

Active since June 23, 2022
16479 DALLAS PKWY STE 320, ADDISON, TX 75001(469) 484-4260 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Apr 2, 2024, Mar 10, 2024 (3 updates tracked since 2024).

About Mr. Ivan Miranda Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IVAN MIRANDA PA-C (NPI 1003547670) is an individual medical provider in Addison, Texas, licensed in Texas (PA17718) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1003547670
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. IVAN MIRANDACredential: PA-C
Location Address16479 DALLAS PKWY STE 320Addison, TX 75001-6709
Mailing Address16479 Dallas Pkwy Ste 320Addison, TX 75001-6709 · (469) 484-4260 · Fax (469) 484-4265
Phone(469) 484-4260
Sole ProprietorNo
Enumeration DateJune 23, 2022
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1003547670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA17718
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17718 (TX)
16479 DALLAS PKWY STE 320, Addison, TX 75001
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Other Names 1

Professional Name (2)Mr. Ivan Miranda Mpas, Pa-c

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRICIA N. STEVENSON NP
Nurse Practitioner (Psychiatric/Mental Health)
16479 DALLAS PKWY STE 320
ADDISON, TX 75001
Dallas County (469) 484-4260
EMILY ANN STANFORD
Nurse Practitioner (Psychiatric/Mental Health)
16479 DALLAS PKWY STE 320
ADDISON, TX 75001
Dallas County (469) 484-4260
DAYNA KINNEY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
16479 DALLAS PKWY STE 320
ADDISON, TX 75001
Dallas County (469) 484-4260
MARTY NEAL BENNETT MD
Psychiatry & Neurology (Psychiatry)
16479 DALLAS PKWY STE 320
ADDISON, TX 75001
Dallas County (469) 484-4260
DALLAS CENTER FOR ADVANCED DEPRESSION TREATMENTS
Clinic/Center (Adult Mental Health)
16479 DALLAS PKWY STE 320
ADDISON, TX 75001
Dallas County (469) 484-4260
PRESTON HOLLOW PSYCHIATRY GROUP, PLLC
Psychiatry & Neurology (Psychiatry)
16479 DALLAS PKWY STE 320
ADDISON, TX 75001
Dallas County (214) 697-8230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Miranda's NPI number?

The NPI number for Ivan Miranda is 1003547670. It was assigned to this individual provider in the NPPES registry on June 23, 2022. The provider is also known as Mr. Ivan Miranda Mpas, Pa-C.

Where is Ivan Miranda located?

Ivan Miranda practices at 16479 Dallas Pkwy Ste 320, Addison, TX 75001. The listed phone number is (469) 484-4260.

What is Ivan Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ivan Miranda was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.