Dr. Matthew Miller, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

145027-9922 Issued in UT

Legal business name

DR. MATTHEW MILLER, DDS

Practice address

5742 S 1475 E Ste 100
Ogden, UT 84403-4857

Phone

(801) 392-2182

Fax

(801) 393-5869

NPI assigned

Aug 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew G. Miller, DDS

Title

Dentist

Phone

(801) 392-2182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1033424205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5742 S 1475 E STE 100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034857",
            "telephone_number": "801-392-2182",
            "fax_number": "801-393-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 S 1475 E STE 100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034857",
            "telephone_number": "801-392-2182",
            "fax_number": "801-393-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATTHEW MILLER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-392-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "145027-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.