NPIMap

Organization Active NPI

Renee C. Miller DDS PLLC

  • Dental Clinic/Center
  • Grosse Pointe Woods, MI
National Provider Identifier
1154050300
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RENEE C. MILLER DDS PLLC
Practice address
19639 Mack Ave
Grosse Pointe Woods, MI 48236-2535
Phone
(313) 881-8404
NPI assigned
Jun 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Dr. Renee Christine Miller, DDSNPI 1891145587
Title
Practice Owner, Dentist
Phone
(734) 255-5240

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

19639 Mack Ave
Grosse Pointe Woods, MI 48236-2535

Mailing address

19639 Mack Ave
Grosse Pointe Woods, MI 48236-2535
Phone (313) 881-8404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1154050300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19639 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362535",
            "telephone_number": "313-881-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19639 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362535",
            "telephone_number": "313-881-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE C. MILLER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRACTICE OWNER, DENTIST",
        "authorized_official_telephone_number": "734-255-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.