Andi Miro, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0580201 Issued in NY

Practice address

30 E 76TH St
New York, NY 10021-2700

Phone

(212) 794-9600

NPI assigned

Jul 28, 2015

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

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1437534898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TONE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051649",
            "telephone_number": "718-809-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212700",
            "telephone_number": "212-794-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRO",
        "first_name": "ANDI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0580201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikranth R Mirle, MD
• Julie Mirliss
• Keana Roya Mirmajlesi, MD
• Benjamin Daniel Mirman, MD
• Lucy A Miro-Quesada, LCSW
• Edmund Siaton Miro
• Miromedical P.C.
• Carly D Miron, MA
• Noga Miron
• Christine McMorrow Mironenko, NP

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.