Individual provider Active NPI

Zachary Miller, DDS

  • Dentist
  • Poulsbo, WA
National Provider Identifier
1083269443
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5075 Issued in ID
Practice address
20307 Viking Ave NW Ste 201
Poulsbo, WA 98370-8321
Phone
(702) 807-8930
NPI assigned
Aug 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5075 ID Primary

Addresses

Primary practice location

20307 Viking Ave NW Ste 201
Poulsbo, WA 98370-8321

Mailing address

20307 Viking Ave NW Ste 201
Poulsbo, WA 98370-8321
Phone (360) 779-9770

Other identifiers 1

IdentifierTypeStateIssuer
5075OtherIDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5075IDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary D Miller DDS PLLC Dentist Current Accepting new patients

Locations

20307 Viking Ave NW
Ste 201
Poulsbo, WA 98370
Phone (360) 779-9770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1083269443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 201",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708321",
            "telephone_number": "360-779-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 201",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708321",
            "telephone_number": "702-807-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ZACHARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5075",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.