Organization Active NPI

Emilie D. Miller, DMD, PC

  • General Practice Dentistry
  • Burlington, MA
National Provider Identifier
1437587706
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21363 Issued in MA
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

Updated by the provider on Jun 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Emilie D MillerNPI 1669420329
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
110077883AMedicaidMA

Other names 1

  • Super Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.