Vladimir Misajloski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

21768 Issued in MA

Practice address

188 Longwood Ave
Suite B-030
Boston, MA 02115-5819

Phone

(617) 432-5763

Fax

(617) 432-4258

NPI assigned

Sep 21, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1215187760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVENUE SUITE B-030",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "address_2": "SUITE B-030",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-432-5763",
            "fax_number": "617-432-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISAJLOSKI",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-21",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21768",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Mirsky, M.D., M.A.
• Afia F Mirza, M.D
• Inaaz Mirza
• Muhammad Usama Zafar Mirza, M.D
• Angelica Rae Mirzoca, MD, MPH
• John N Misasi, M.D.
• Laura Semine Misbach
• David Mischoulon, M.D., PH.D.
• Stanislava Misci, DMD
• William Alan Misciagna, MD

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.