Active NPI
George Brett Miller, DMD
- Dentist
- Las Vegas, NV
National Provider Identifier
1114276847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6324
- Practice address
- 8460 S Eastern Ave Ste D
Las Vegas, NV 89123-2865 - Phone
- (702) 270-0025
- NPI assigned
- Sep 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 6324 | NV | Primary |
Addresses
Primary practice location
8460 S Eastern Ave Ste D
Las Vegas, NV 89123-2865
Mailing address
8951 Emery Lake St
Las Vegas, NV 89123-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529000020 | CA | Order and Referring Only - Dentist | 2567804156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6324 | NV | MD | Vascular & Interventional Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1114276847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8951 EMERY LAKE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891233250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8460 S EASTERN AVE STE D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232865",
"telephone_number": "702-270-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GEORGE",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-10",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.