Active NPI
Andrea M Miller Finch, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1124028113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019022059
- Practice address
- 1625 W North Ave Apt 1a-1E
Chicago, IL 60622-8415 - Phone
- (312) 208-4977
- Fax
- (312) 208-4977
- NPI assigned
- Jul 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019022059 | IL | |
| General Practice Dentistry | 1223G0001X | 019022059 | IL | Primary |
Addresses
Primary practice location
1625 W North Ave Apt 1a-1E
Chicago, IL 60622-8415
Mailing address
1625 W North Ave Apt 1a-1E
Chicago, IL 60622-8415
Phone (312) 208-4977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002966 | Medicaid | IL | |
| 1245401124 | Other | IL | NPI TYPE 2 ORGANIZATION |
Other names 1
- Dr. Andrea M Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019022059 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athena Dental Institute P C | General Practice | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Athena Dental Institute, P.C. | General Practice | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- General Practice Dentistry
- Chicago, IL
- NPI 1427580075
-
- General Practice Dentistry
- Chicago, IL
- NPI 1245401124
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1124028113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 W NORTH AVE APT 1A-1E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228415",
"telephone_number": "312-208-4977",
"fax_number": "312-208-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 W NORTH AVE APT 1A-1E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228415",
"telephone_number": "312-208-4977",
"fax_number": "312-208-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER FINCH",
"first_name": "ANDREA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-30",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019022059",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019022059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002966",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2 ORGANIZATION",
"identifier": "1245401124",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "MILLER",
"middle_name": "M",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.