Active NPI
Lauren Miele, DMD
- Periodontics
- Huntsville, AL
National Provider Identifier
1558985606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D.0006766-C1
- Practice address
- 7736 Madison Blvd Ste 2
Huntsville, AL 35806-3658 - Phone
- (256) 289-8440
- Fax
- (256) 257-9808
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D.0006766-C1 | AL | Primary |
Addresses
Primary practice location
7736 Madison Blvd Ste 2
Huntsville, AL 35806-3658
Mailing address
7736 Madison Blvd Ste 2
Huntsville, AL 35806-3658
Phone (256) 289-8440
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.0006766-C1 | AL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntsville Periodontal and Implant Specialists, LLC | Periodontics | Current | Accepting new patients |
Locations
7736 Madison Blvd
Ste 2
Huntsville, AL 35806
Phone (256) 289-8440
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Periodontics
- Huntsville, AL
- NPI 1578347365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1558985606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7736 MADISON BLVD STE 2",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358063658",
"telephone_number": "256-289-8440",
"fax_number": "256-257-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7736 MADISON BLVD STE 2",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358063658",
"telephone_number": "256-289-8440",
"fax_number": "256-257-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELE",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AL",
"license": "D.0006766-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.