Individual provider Active NPI

Emilie Doan-Thanh Miller, D.M.D

  • General Practice Dentistry
  • Burlington, MA
National Provider Identifier
1669420329
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21363 Issued in MA
Practice address
54 Middlesex Tpke
Suite 104
Burlington, MA 01803-4908
Phone
(781) 272-1288
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 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) 309-7086

Other names 1

  • Dr. Emilie Doan-Thanh Vu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608001134 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628368370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21363MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emilie D. Miller, DMD, PC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1669420329",
    "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": "781-309-7086"
        },
        {
            "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": {
        "last_name": "MILLER",
        "first_name": "EMILIE",
        "middle_name": "DOAN-THANH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "VU",
            "middle_name": "DOAN-THANH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.