Karen Cook Misla, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12013556A Issued in IN

Practice address

3701 S Main St Ste A150
Elkhart, IN 46517-3140

Phone

(574) 830-8125

Fax

(505) 820-1212

NPI assigned

Nov 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Hero Dental of Santa Fe PC

  • General Practice Dentistry
  • Santa Fe, NM
  • NPI 1033407846
  NPD (past)
• Hero Vision of Santa Fe LLC

  • Optometrist
  • Santa Fe, NM
  • NPI 1144590258
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1033398490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S MAIN ST STE A150",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173140",
            "telephone_number": "574-830-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S MAIN ST STE A150",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173140",
            "telephone_number": "574-830-8125",
            "fax_number": "505-820-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISLA",
        "first_name": "KAREN",
        "middle_name": "COOK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013556A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "DD2743",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Christine Miller, LMHCA
• Moriah L Mills
• Ashley Miltroka, BSW
• Sandra Gay Minix, RD, CD
• Michael Louis Mirante, PH.D., L.C.S.W., MSW
• Tracy Lynn Mitchel, NP
• Eulah M Mitchell, MSW
• Tyesha Mitchell
• Nkosazana Mlotshwa, RBT
• Khalid Mohamed, MD

• Dentist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.