Nathan King Miller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60938377 Issued in WA

Practice address

21610 Pacific Hwy
Ocean Park, WA 98640-3206

Phone

(360) 665-3000

NPI assigned

Aug 28, 2015

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nathan.miller.p1@direct.pueblochc.nextgenshare.com

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1104293877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 FIDDLEBACK ST NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164426",
            "telephone_number": "316-393-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21610 PACIFIC HWY",
            "city": "OCEAN PARK",
            "state": "WA",
            "postal_code": "986403206",
            "telephone_number": "360-665-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5122 Yelm Hwy SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035034",
            "country_code": "US",
            "telephone_number": "360-528-7878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Building 3406 Alder Ave.",
            "address_purpose": "LOCATION",
            "city": "Fort Wainwright",
            "state": "AK",
            "postal_code": "997031529",
            "country_code": "US",
            "telephone_number": "907-353-2917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NATHAN",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015018855",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60938377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyna Rose Krause/Beadle
• Mihaela Lebo
• Jerome March, DNP, FNP-BC
• April McCune, PA-C
• Kevin P McGinley, LICSW
• Terri Miller, ARNP
• Pacific County Fire Protection District 1
• Peninsula Pharmacies Inc. (Ocean Park Pharmacy)
• Public Hospital District 3 of Pacific County (Ocean Beach Medical Group -Ocean Park)
• Real Talk Counseling, PLLC

• General Practice Dentistry in Ocean Park, WA
• Providers in Ocean Park, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.