Active NPI
Jill Ann Miller, D.D.S.
- General Practice Dentistry
- Elida, OH
National Provider Identifier
1053540518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-023056
- Practice address
- 409 E Kiracofe Ave
Elida, OH 45807-1031 - Phone
- (419) 331-0031
- Fax
- (419) 331-0039
- NPI assigned
- Jul 6, 2009
- Last updated
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-023056 | OH | Primary |
Addresses
Primary practice location
409 E Kiracofe Ave
Elida, OH 45807-1031
Mailing address
409 E Kiracofe Ave
Elida, OH 45807-1031
Phone (419) 331-0031
Other names 1
- Jill Ann Griffo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 21, 2015 through Sep 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023056 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1053540518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E KIRACOFE AVE",
"city": "ELIDA",
"state": "OH",
"postal_code": "458071031",
"telephone_number": "419-331-0031",
"fax_number": "419-331-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E KIRACOFE AVE",
"city": "ELIDA",
"state": "OH",
"postal_code": "458071031",
"telephone_number": "419-331-0031",
"fax_number": "419-331-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JILL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-023056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "GRIFFO",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elida, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.