Samuel Grey Miller, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00206179 Issued in CO

Practice address

200 Quebec St Unit 105
Denver, CO 80230-7144

Phone

(859) 492-4876

NPI assigned

Apr 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1114507498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEBEC ST UNIT 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "859-492-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEBEC ST UNIT 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "859-492-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMUEL",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00206179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PC",
            "affiliation": "N",
            "endpointDescription": "PC at Workplace",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Line to PC",
            "address_1": "200 Quebec St Bldg 500",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802307144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Philip Kendon Miller, M.D.
• Rachael Miller, RN
• Rebecca Miller
• Robert D. Miller, MD
• Russell Charles Miller, CRNA
• Sandra Miller
• Shailynn Miller
• Sherraine Miller, ATR-P
• Stephanie Miller, PH.D.
• Stephanie Alexander Miller, M.D.

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.