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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ilya B Mironov, D.D.S.

Public Health Dentistry in Burlington, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912067604

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Registry record

Entity type Individual (Type 1)
Name Ilya B Mironov
Credential D.D.S.
Sex Male
Practice address Ojh Clinic No 5 Burlington Family Dentistry, 1250 S Burlington Blvd, Burlington, WA, 98233
Enumeration date Dec 11, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223D0001X Public Health Dentistry Dental Providers · License DE 00010565 (WA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Ilya Mironov's NPI record?
Cross-check NPI 1912067604 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1912067604 active?
Yes, as of the latest NPPES snapshot, NPI 1912067604 is active (record last updated 2007-07-08).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.