Active NPI
Trent Carl Miller
- Contractor
- White Bear Lake, MN
National Provider Identifier
1134055353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- BC808854
- Practice address
- 2732 County Road D E
White Bear Lake, MN 55110-5624 - Phone
- (612) 267-7799
- NPI assigned
- Jun 23, 2026
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | BC808854 | MN | Primary |
Addresses
Primary practice location
2732 County Road D E
White Bear Lake, MN 55110-5624
Mailing address
2732 County Road D E
White Bear Lake, MN 55110-5624
Phone (612) 267-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1134055353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 COUNTY ROAD D E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551105624",
"telephone_number": "612-267-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2732 COUNTY ROAD D E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551105624",
"telephone_number": "612-267-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TRENT",
"middle_name": "CARL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-23",
"last_updated": "2026-06-23",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MN",
"license": "BC808854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.