Individual provider Active NPI

Lauren Miele, DMD

  • Periodontics
  • Huntsville, AL
National Provider Identifier
1558985606
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D.0006766-C1 Issued in AL
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

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D.0006766-C1ALMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Periodontal and Implant Specialists, LLC Periodontics CurrentSince Sep 10, 2023 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.

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.

Verify at the official NPI Registry.