Individual provider Active NPI

Greg Charles Miller, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Long Beach, CA
National Provider Identifier
1083800783
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
55699 Issued in CA
Practice address
4301 Atlantic Ave
Suite 2
Long Beach, CA 90807-2833
Phone
(562) 427-1426
Fax
(562) 427-4406
NPI assigned
Sep 18, 2007
Last updated
May 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 55699 CA Primary

Addresses

Primary practice location

4301 Atlantic Ave
Suite 2
Long Beach, CA 90807-2833

Mailing address

4301 Atlantic Ave
Suite 2
Long Beach, CA 90807-2833
Phone (562) 427-1426

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
55699CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Miller, DDS, Inc. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Miller and Kan, a Professional Dental Corporation Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Greg Miller, DDS, Inc Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 3

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1083800783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE",
            "address_2": "SUITE 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-427-1426",
            "fax_number": "562-427-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE",
            "address_2": "SUITE 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-427-1426",
            "fax_number": "562-427-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GREG",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.