Gavin J. Miller, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42367 Issued in CA

Legal business name

GAVIN J. MILLER, DDS, INC.

Practice address

4130 La Jolla Village Dr Ste 205
La Jolla, CA 92037-1480

Phone

(858) 546-7667

Fax

(858) 546-7693

NPI assigned

Aug 1, 2012

Last updated

Aug 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gavin Jacob Miller, D.D.S.NPI 1568517183

Title

President

Phone

(858) 546-7667

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gavin Jacob Miller, D.D.S.

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1568517183
  NPD (past) Authorized official
• Peter Alfred Rich, D.M.D.

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1356337257
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1043566672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR STE 205",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371480",
            "telephone_number": "858-546-7667",
            "fax_number": "858-546-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR STE 205",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371480",
            "telephone_number": "858-546-7667",
            "fax_number": "858-546-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN J. MILLER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-546-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy-Ann H. Garvey, R.D.
• Gary Vandenberg,Jr., M.D.,Inc.
• Morgan Elizabeth Gary, PA
• Vicente G Garzo-Toro, MD
• Judith Ann Gaspar, FNP
• Michael Jay Gawler, COTA
• Brendan Gaylis, M.D.
• Alon Gelber
• Genesis Healthcare Partners PC (GHP - Coast Urology Medicl Group)
• Matthew William Gentile, OD

• General Practice Dentistry in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.