Organization Active NPI

Michael V. Miller, DDS,PLC

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1124896618
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MICHAEL V. MILLER, DDS,PLC
Practice address
2501 Plainfield Ave NE Ste B
Grand Rapids, MI 49505-3700
Phone
(616) 363-6612
Fax
(616) 363-3014
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Dr. Michael Vincent Miller, DDSNPI 1285776302
Title
Dentist/Owner
Phone
(616) 363-6612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2501 Plainfield Ave NE Ste B
Grand Rapids, MI 49505-3700

Mailing address

2501 Plainfield Ave NE Ste B
Grand Rapids, MI 49505-3700
Phone (616) 363-6612

National Provider Directory

National Provider Directory

Locations

2501 Plainfield Ave NE
Ste B
Grand Rapids, MI 49505
Phone (616) 363-6612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1124896618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PLAINFIELD AVE NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053700",
            "telephone_number": "616-363-6612",
            "fax_number": "616-363-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PLAINFIELD AVE NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053700",
            "telephone_number": "616-363-6612",
            "fax_number": "616-363-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL V. MILLER, DDS,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "616-363-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.