Veronica Mitko

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1856834 Issued in MA

Practice address

1 Elm SQ Ste 1D
Andover, MA 01810-3667

Phone

(978) 296-4964

NPI assigned

Feb 27, 2013

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restoration Smiles, P.C.

  • Dental Clinic/Center
  • Hudson, MA
  • NPI 1326646399
  NPD Authorized official

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437499480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELM SQ STE 1D",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103667",
            "telephone_number": "978-296-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELM SQ STE 1D",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103667",
            "telephone_number": "978-296-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Winchester St",
            "address_2": "apt 6",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024462796",
            "country_code": "US",
            "telephone_number": "845-863-9987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITKO",
        "first_name": "VERONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1856834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Veen Michaels, MAOM, LIC. AC.
• Micro Endodontics LLC
• Carie Miele, PT
• David C Miller, LMHC
• Khloe Nichloe Mitchell, LPN
• Amanda Mlekoday
• Jacqueline Mmasi
• Nancyjo Khantzian Modlish
• Cherie Lynn Monahan, RN, CPNP
• Megan Monahan

• Pediatric Dentistry in Andover, MA
• Providers in Andover, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.