Mina Mina, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

P07646 Issued in CT

Practice address

263 Farmington Ave
Uconn School of Dental Medicine
Farmington, CT 06030-3905

Phone

(860) 679-4081

Fax

(860) 679-4078

NPI assigned

Dec 26, 2006

Last updated

May 19, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Interoperability endpoints

• Direct secure messaging: mmina9887@direct.med.uchc.edu

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1427113018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "UCONN SCHOOL OF DENTAL MEDICINE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060303905",
            "telephone_number": "860-679-2207",
            "fax_number": "860-679-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "UCONN SCHOOL OF DENTAL MEDICINE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060303905",
            "telephone_number": "860-679-4081",
            "fax_number": "860-679-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "MINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "P07646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmina9887@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Ave",
            "address_2": "UConn School of Dental Medicine",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060303905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wendy A Miller, MD
• Lauren Millett, MD
• Grethel Millington, DMD
• Margaret Killelea Mills, MD
• Indigo Milne, MD
• Mind Dental PLLC
• Mindful Psychiatric Services PLLC
• Mindful Transformations LLC
• Daniel Joseph Minnes
• Paige Nicole Mino

• Pediatric Dentistry in Farmington, CT
• Providers in Farmington, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.