Active NPI
Emilie D. Miller, DMD, PC
- General Practice Dentistry
- Burlington, MA
National Provider Identifier
1437587706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21363
- Legal business name
- EMILIE D. MILLER, DMD, PC
- Practice address
- 54 Middlesex Tpke
Suite 104
Burlington, MA 01803-4908 - Phone
- (781) 272-1288
- NPI assigned
- Oct 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emilie D Miller
- Title
- President
- Phone
- (781) 309-7086
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21363 | MA | Primary |
Addresses
Primary practice location
54 Middlesex Tpke
Suite 104
Burlington, MA 01803-4908
Mailing address
54 Middlesex Tpke
Suite 104
Burlington, MA 01803-4908
Phone (781) 272-1288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110077883A | Medicaid | MA |
Other names 1
- Super Smiles
National Provider Directory
National Provider DirectoryLocations
54 Middlesex Tpke
Ste 104
Burlington, MA 01803
Phone (781) 272-1288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Burlington, MA
- NPI 1669420329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433289600000",
"number": "1437587706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MIDDLESEX TPKE",
"address_2": "SUITE 104",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034908",
"telephone_number": "781-272-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MIDDLESEX TPKE",
"address_2": "SUITE 104",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034908",
"telephone_number": "781-272-1288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMILIE D. MILLER, DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-24",
"last_updated": "2015-06-03",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "EMILIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-309-7086",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110077883A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Super Smiles",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.