Clyde Edward Miller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5415 Issued in AZ

Practice address

9377 E Bell Rd Ste 301
Scottsdale, AZ 85260-1505

Phone

(480) 513-2620

Fax

(480) 513-9308

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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

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.

• Aesthetic Dentistry of Scottsdale

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1346451341
  NPD (past) Authorized official
• Aesthetic Dentistry of Scottsdale, PLC

  • Dental Clinic/Center
  • Scottsdale, AZ
  • NPI 1285419259
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003027830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9598 E SOUTHWIND LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623656",
            "telephone_number": "480-473-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601505",
            "telephone_number": "480-513-2620",
            "fax_number": "480-513-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CLYDE",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Miller, NMD
• Chelsea Nicole Miller, PHARM.D.
• Christine Marie Miller
• Christopher Ryan Miller, M.D.
• Cindy Faith Miller, PH.D.
• Connor Scott Miller, PA
• Cortney Miller, RN
• Garred M Miller
• George Caplice Miller
• James Bradley Miller, D.M.D.

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.