Active NPI
Richard T Miller DMD PC
- Dentist
- Great Neck, NY
National Provider Identifier
1083070320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- RICHARD T MILLER DMD PC
- Practice address
- 611 Northern Blvd
Great Neck, NY 11021-5207 - Phone
- (516) 708-4019
- NPI assigned
- Dec 31, 2015
- Last updated
- Dec 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richarsd Miller, DMD
- Title
- President
- Phone
- (617) 921-6292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
611 Northern Blvd
Great Neck, NY 11021-5207
Mailing address
500 Chapman St
Suite 201
Canton, MA 02021-2093
National Provider Directory
National Provider Directory- Tax ID family
- Richard T Miller DMD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451520000000",
"number": "1083070320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CHAPMAN ST",
"address_2": "SUITE 201",
"city": "CANTON",
"state": "MA",
"postal_code": "020212093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215207",
"telephone_number": "516-708-4019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD T MILLER DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-31",
"last_updated": "2015-12-31",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RICHARSD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-921-6292",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.