Active NPI
Michelle Dimilo Burdine-Merai, DDS
- General Practice Dentistry
- Oxon Hill, MD
National Provider Identifier
1669505202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11844
- Practice address
- 6188 Oxon Hill Rd Ste 400
Oxon Hill, MD 20745-3154 - Phone
- (301) 567-9844
- Fax
- (301) 567-5079
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11844 | MD | Primary |
Addresses
Primary practice location
6188 Oxon Hill Rd Ste 400
Oxon Hill, MD 20745-3154
Mailing address
4025 Vargas PL
White Plains, MD 20695-4416
Phone (301) 638-0734
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 |
|---|---|---|---|
| 11844 | MD | MD | Clinical Social Worker |
Interoperability endpoints
- https://api.platform.athenahealth.com/26651/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669505202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 VARGAS PL",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206954416",
"telephone_number": "301-638-0734",
"fax_number": "301-567-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6188 OXON HILL RD STE 400",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453154",
"telephone_number": "301-567-9844",
"fax_number": "301-567-5079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDINE-MERAI",
"first_name": "MICHELLE",
"middle_name": "DIMILO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "11844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.