Active NPI
Zachary Miller, DDS
- Dentist
- Poulsbo, WA
National Provider Identifier
1083269443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5075
- Practice address
- 20307 Viking Ave NW Ste 201
Poulsbo, WA 98370-8321 - Phone
- (702) 807-8930
- NPI assigned
- Aug 2, 2019
- Last updated
- Mar 16, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5075 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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.