Peter H Mielke DDS Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PETER H MIELKE DDS PEDIATRIC DENTISTRY

Practice address

1675 Beam Ave Ste 202
Maplewood, MN 55109-1479

Phone

(651) 779-9002

NPI assigned

Mar 17, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Hermann Mielke, DDSNPI 1568565612

Title

Pedodontist

Phone

(651) 779-9002

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Hermann Mielke, DDS

  • Pediatric Dentistry
  • Maplewood, MN
  • NPI 1568565612
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1184895351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BEAM AVE STE 202",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091479",
            "telephone_number": "651-779-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BEAM AVE STE 202",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091479",
            "telephone_number": "651-779-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H MIELKE DDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MIELKE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HERMANN",
        "authorized_official_title_or_position": "PEDODONTIST",
        "authorized_official_telephone_number": "651-779-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Perfetto, M.A.
• Amanda Jo Perkins, PHARM D.
• Carron Perry, D.C.
• Erica A Perry, CRNA
• Tina Perry
• Peterson Chiropractic Center
• Andrew Frederick Peterson
• Bruce Allen Peterson, DC
• Dana Alexandra Peterson, APRN
• Andrzej Petryk, M.D.

• Pediatric Dentistry in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.