Active NPI
Stacey Nicole Miller, DDS
- General Practice Dentistry
- Greenwood Village, CO
National Provider Identifier
1154315455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8625
- Practice address
- 6950 E Belleview Ave
Ste 101
Greenwood Village, CO 80111 - Phone
- (303) 741-2717
- Fax
- (303) 741-2717
- NPI assigned
- Sep 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8625 | CO | Primary |
Addresses
Primary practice location
6950 E Belleview Ave
Ste 101
Greenwood Village, CO 80111
Mailing address
9970 South Melbourne Place
Highlands Ranch, CO 80130
Phone (303) 331-8219
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8625 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1154315455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9970 SOUTH MELBOURNE PLACE",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "80130",
"telephone_number": "303-331-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6950 E BELLEVIEW AVE",
"address_2": "STE 101",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "80111",
"telephone_number": "303-741-2717",
"fax_number": "303-741-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STACEY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "8625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.