Milagros Serrano DDS, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MILAGROS SERRANO DDS, PC

Practice address

1842 Beacon St Ste 303
Brookline, MA 02445-1922

Phone

(617) 734-9494

Fax

(617) 734-6081

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Amy Gould Weiss

Title

Office Manager

Phone

(617) 734-9494

Specialties & licenses 1

Addresses

Other names 2

• Brookline Periodontics Doing business as
• Milagros Serrano DDS, PC Doing business as

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1669938130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 303",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451922",
            "telephone_number": "617-734-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 303",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451922",
            "telephone_number": "617-734-9494",
            "fax_number": "617-734-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGROS SERRANO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "GOULD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-734-9494",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookline Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milagros Serrano DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Michelsen, PT
• Shamora Elaine Michelson, MSW
• Sonia B. Michelson, SOCIAL WORKER
• Molly Chadis Micley
• Paula Jean Miele, CERTIFIED MASSAGE TH
• Revan Fisher Miles
• Zeljka Mileusnic, PSY.D.
• Deborah J Miller
• Leonard B Miller, M.D.
• Majana Vukajlovic Miller, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Brookline, MA
• Providers in Brookline, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.