Annie Mirza, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.030553 Issued in IL

Practice address

1421 N Lewis Ave
Waukegan, IL 60085-1757

Phone

(224) 419-7905

NPI assigned

Jul 26, 2015

Last updated

Apr 2, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentelligence Inc

  dba Lake County Dental

  • Dentist
  • Libertyville, IL
  • NPI 1093656290
  NPD Authorized official
• Amdental Inc

  dba lifetime dental

  • Dentist
  • Waukegan, IL
  • NPI 1417440611
  Authorized official Same address or phone

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

{
    "created_epoch": "1437868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1801271317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N LEWIS AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600851757",
            "telephone_number": "224-419-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N LEWIS AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600851757",
            "telephone_number": "224-419-7905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1298 S Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483784",
            "country_code": "US",
            "telephone_number": "847-316-0679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-26",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd S Miller
• Yvette M Miller, P.T.A.
• Mimi's House Family Advocacy Center NFP
• Kayla E Ming, RN
• Wendy Jahayra Miralda, RN
• Adam Miscichowski
• Sarah Marie Mitchell
• Armina Mkrtchian
• Mmor Transportation LLC
• Nicole L Moan, RN

• Dentist in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.