Brian H. Miller, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12230 Issued in MA

Practice address

801 Main St
Concord, MA 01742-3313

Phone

(978) 369-4709

NPI assigned

May 29, 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

Other identifiers 1

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 and National Provider Directory roles.

• Newton Center Family Orthodontics

  • Dentist
  • Newton Centre, MA
  • NPI 1013891639
  NPD Authorized official
• Brian H. Miller

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, MA
  • NPI 1740484484

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023219060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LOCKE RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681415",
            "telephone_number": "617-969-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423313",
            "telephone_number": "978-369-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRIAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "12230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272019",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Mickle
• Mikael Medical Associates Inc.
• Lilian R Mikael, M.D.
• Nagy N Mikael, M.D.
• Ashley Miller
• Minute Man Arc Early Intervention Program
• Minute Man Arc for Human Services, Inc.
• Minute Man Arc for Human Services, Inc.
• Minute Man Arc for Human Services, Inc.
• Minuteman Arc

• All providers in Concord, MA
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.