Gregory Lee Miller

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4753 Issued in OR

Practice address

3405 Derr Park Rd SE
Salem, OR 97310-0001

Phone

(503) 373-0891

Fax

(503) 378-8628

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1023595899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 13TH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011309",
            "telephone_number": "503-798-1579",
            "fax_number": "503-378-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 DERR PARK RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973100001",
            "telephone_number": "503-373-0891",
            "fax_number": "503-378-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Roy Miller, PEER SPECIALIST - 1
• Crystal Miller
• David Miller, D.M.D.
• Debbie L Miller, MD
• Dianne Marie Miller, QMHA
• Hailey Miller
• James Frederick Miller, M.D.
• James Galen Miller, PH.D.
• Jamie Miller
• Jodi L Miller, LPC

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.