Organization Active NPI

Miellie Dental P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1124280763
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048415-1 Issued in NY
Legal business name
MIELLIE DENTAL P.C.
Practice address
59 E 54TH St
Suite #3
New York, NY 10022-4211
Phone
(212) 688-6010
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Daniel F Di Costanzo, D.D.S
Title
Dentist
Phone
(212) 688-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 048415-1 NY Primary

Addresses

Primary practice location

59 E 54TH St
Suite #3
New York, NY 10022-4211

Mailing address

59 E 54TH St
Suite #3
New York, NY 10022-4211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1124280763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "address_2": "SUITE #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "address_2": "SUITE #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211",
            "telephone_number": "212-688-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIELLIE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "DI COSTANZO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-688-6010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048415-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.