Active NPI
Mia Kutner
- Oral and Maxillofacial Surgery (Dentist)
- Greenwood Village, CO
National Provider Identifier
1548720873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DEN.00205664
- Practice address
- 8000 E Prentice Ave Ste A3
Greenwood Village, CO 80111-2725 - Phone
- (720) 782-8077
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DEN.00205664 | CO | Primary |
Addresses
Primary practice location
8000 E Prentice Ave Ste A3
Greenwood Village, CO 80111-2725
Mailing address
9365 Riviera Hills Dr
Greenwood Village, CO 80111-3453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205664 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yonkers Oral Surgery, PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Professional Oral Surgery Alliance of Downstate New York PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba New City Oral Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Scarsdale, NY
- NPI 1144043092
-
- Oral and Maxillofacial Surgery (Dentist)
- Yonkers, NY
- NPI 1255796553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1548720873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9365 RIVIERA HILLS DR",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 E PRENTICE AVE STE A3",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112725",
"telephone_number": "720-782-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTNER",
"first_name": "MIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CO",
"license": "DEN.00205664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
- Sharvari Sanjay Kumthekar
- Hanna Kundert, RN
- Julienne K Kurland, MD
- Pamela Kay Kurth, RN
- Eric H. Kurzweil, M.D.
- Aleksandra V Kuyarov, PTA
- La Bella Fleur Birthing Hospital Inc
- La Bella Fleur Birthing Hospital Inc
- La Bella Fleur Birthing Hospital Inc (La Bella Fleur Birthing Center, Inc)
- La Bella Fleur Birthing Hospital, Inc (La Bella Fleur Birthing Hospital-Laboratory)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.