Ivan Miranda, PA-C
Ivan Miranda, PA-C is a Medical Physician Assistant in Addison, TX, registered under NPI 1003547670. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Addison, based on OpenStreetMap data collected Oct 5, 2026. Parking is available about 444 ft away. The nearest transit stop is 618 ft away, served by Westgrove @ Addison - W - MB.
Getting here and what is nearby
Parking 196 ft ~1 min
Transit Westgrove @ Ledgemont - W - FS 373 ft ~2 min
Parking 365 ft ~2 min
Transit Westgrove @ Ledgemont - E - NS 444 ft ~2 min
Parking 444 ft ~2 min
Transit Westgrove @ Addison - W - MB 618 ft ~3 min
Convenience C Store 0.29 mi ~6 min
Restaurant Just Fried Rice 0.30 mi ~6 min
Restaurant DJ's Taco Express 0.30 mi ~7 min
Restaurant Donut Palace 0.31 mi ~7 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA17718 | TX | Medical Physician Assistant primary |
| PA17718 | TX | Physician Assistant |
This provider holds licence PA17718 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AM0700X | Medical Physician Assistant Medical | PA17718 | TX | primary |
| 363A00000X | Physician Assistant | PA17718 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003547670 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 23, 2022 |
| Last updated | Dec 16, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | PA-C |
| Practice address |
16479 DALLAS PKWY STE 320 Addison, TX 75001 (469) 484-4260 |
| Other names |
Ivan Miranda Doing Business As |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 5 | 4 | 7 | 6 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 1 | 4 | 5 | 6 | 5 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.