Anthony George Miaoulis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D008724 Issued in AZ

Practice address

11015 N Scottsdale Rd Ste 101
Scottsdale, AZ 85254

Phone

(480) 544-2800

Fax

(480) 544-1148

NPI assigned

Jul 10, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

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

Medicare enrollment (NPD)

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.

• Scottsdale and Shea Dental Group, LLP

  • Dentist
  • Scottsdale, AZ
  • NPI 1568846244
  NPD (past) Authorized official
• Horizon Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1922314202
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1679914337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19637 N 15TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243647",
            "telephone_number": "480-747-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 N SCOTTSDALE RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-544-2800",
            "fax_number": "480-544-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAOULIS",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Meyers, BSN, RN
• MG Anesthesia, LLC
• MG Plastic Surgery P.C.
• Mga Home Healthcare LLC
• MH Health Center LLC
• Leah Micek, PT
• Michael a Angeles, MD, PC
• Michael a. Markson, D.M.D., P.C
• Michael J. Neary DDS PC
• Michael Kennedy, D.C., P.C.

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.