Individual provider Active NPI

Mia Burney, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1760836324
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7040 Issued in LA
Practice address
1750 Saint Charles Ave Unit Cu1
New Orleans, LA 70130-6732
Phone
(504) 609-9077
NPI assigned
Apr 20, 2016
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7040 LA Primary
General Practice Dentistry 1223G0001X G1-0001401 DE

Addresses

Primary practice location

1750 Saint Charles Ave Unit Cu1
New Orleans, LA 70130-6732

Mailing address

1750 Saint Charles Ave Unit Cu1
New Orleans, LA 70130-6732
Phone (504) 609-9077

Other identifiers 1

IdentifierTypeStateIssuer
7040OtherLADENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20210506000543 LA Order and Referring Only - DentistPractitioner - Dentist 8729370895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7040LAMDProfessional Counselor
G1-0001401DEMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: mia.burney.p1@direct.rkmprimarycare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1760836324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 SAINT CHARLES AVE UNIT CU1",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701306732",
            "telephone_number": "504-609-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SAINT CHARLES AVE UNIT CU1",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701306732",
            "telephone_number": "504-609-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "MIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7040",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7040",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.