Harutun Arthur Missirlian, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6161 Issued in AL

Practice address

2 E Pointe CT
Enterprise, AL 36330-1392

Phone

(334) 347-3061

Fax

(334) 347-1101

NPI assigned

Sep 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Walter Lawrence MD PC

  • Family Medicine Physician
  • Enterprise, AL
  • NPI 1538599071
  NPD
• Wiregrass Dental Center LLC

  • Dental Clinic/Center
  • Enterprise, AL
  • NPI 1265956825
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1023204039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E POINTE CT",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301392",
            "telephone_number": "334-347-3061",
            "fax_number": "334-347-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E POINTE CT",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301392",
            "telephone_number": "334-347-3061",
            "fax_number": "334-347-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSIRLIAN",
        "first_name": "HARUTUN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7595",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metanoia Behavioral Health Center, LLC
• Mid-South Home Health Agency, LLC
• Hillary Lee Miles, LMT
• Andrew J Mills, D.M.D.
• Mind Matters Counseling Services, LLC
• Kaitlin Moore
• Mt Therapy LLC
• Allyson C Munson, ARNP
• Amanda T Nagle, M.S., BCBA, LBA
• Deborah D Nall, DPT

• Dentist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.