Jennifer J Miller, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10908106 Issued in WI

Practice address

BLDG 600 McCain Blvd
Branch Dental Clinic North Island
San Diego, CA 92135

Phone

(619) 545-6397

NPI assigned

Jun 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer J Haskins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1114366226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 ALVARADO RD # 89",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428904",
            "telephone_number": "757-897-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 600 MCCAIN BLVD",
            "address_2": "BRANCH DENTAL CLINIC NORTH ISLAND",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92135",
            "telephone_number": "619-545-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10908106",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402203674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HASKINS",
            "middle_name": "J",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James G Miller, P.A.
• Jamie Miller
• Janet Miller
• Janet Miller
• Jason Jerome Miller, RADT I
• Jere Alan Miller, D.P.M.
• Jessica Miller, M.S., CCC-SLP
• Jessica Woody Miller, COTA/L
• Jill Ann Miller, PA
• Joanne Lorraine Miller, M.S.

• Dental Hygienist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.