Sara Mir, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052790 Issued in NY

Practice address

2806 Townehouse Dr
Coram, NY 11727-2866

Phone

(631) 846-9486

NPI assigned

Aug 29, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: smir79719@connecticutchildrens.direct-ci.com

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1255525598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 TOWNEHOUSE DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272866",
            "telephone_number": "716-868-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 TOWNEHOUSE DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272866",
            "telephone_number": "631-846-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michaels, M.D.
• Kim Michelli
• Melissa M Miller I, R.N
• Christel Millery-Grizlo
• Christy Angela Millery
• Dennae Mitchell, LPN
• Shadae Mitchell, RN
• Veronica Modavis
• Jean-Arly Mondesir, RRT
• Jessica Leigh Montalbano

• General Practice Dentistry in Coram, NY
• Providers in Coram, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.