Blegina Miraka, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901600496 Issued in MI

Practice address

13417 Middlebelt Rd
Livonia, MI 48150-2229

Phone

(734) 245-9304

NPI assigned

Jun 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• VMLP Chest LLC

  • General Practice Dentistry
  • Chesterfield, MI
  • NPI 1184261083
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1568086635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31826 SANKUER DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937633",
            "telephone_number": "586-838-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13417 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502229",
            "telephone_number": "734-245-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50503 Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480513184",
            "country_code": "US",
            "telephone_number": "586-273-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRAKA",
        "first_name": "BLEGINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Mims, BEHAVIOR TECHNICIAN
• Taquilla Mims
• Anca Minciuna
• Samantha Mints
• Miracle Visiting Professionals, Inc.
• Neil Kenneth Miran
• Ayline Miranda
• Ashra Mirza, NP
• Lana Mirza, MD
• Mitchell Misiak, PA

• Dentist in Livonia, MI
• Providers in Livonia, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.