Active NPI
Amanda Rachelle Miller, D.D.S.
- Dentist
- Parker, CO
National Provider Identifier
1164672002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9757
- Practice address
- 19700 E Parker Square Dr
Parker, CO 80134-7301 - Phone
- (720) 370-3410
- NPI assigned
- Sep 29, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN-9757 | CO | |
| Dentist | 122300000X | 9757 | CO | Primary |
Addresses
Primary practice location
19700 E Parker Square Dr
Parker, CO 80134-7301
Mailing address
7028 Hyland Hills St
Castle Pines, CO 80108-8716
Phone (303) 746-9137
Other practice location 1
15854 Jackson Creek Pkwy
Suite140
Monument, CO 80132-8662
Phone (719) 302-2200
Other names 1
- Dr. Amanda Rachelle Miller
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 |
|---|---|---|---|
| 9757 | CO | MD | Dentist |
| DEN-9757 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Creek Dental Care, P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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 Practice Dentistry
- Monument, CO
- NPI 1013163351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1164672002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7028 HYLAND HILLS ST",
"city": "CASTLE PINES",
"state": "CO",
"postal_code": "801088716",
"telephone_number": "303-746-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19700 E PARKER SQUARE DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801347301",
"telephone_number": "720-370-3410"
}
],
"practiceLocations": [
{
"address_1": "15854 Jackson Creek Pkwy",
"address_2": "Suite140",
"address_purpose": "LOCATION",
"city": "Monument",
"state": "CO",
"postal_code": "801328662",
"country_code": "US",
"telephone_number": "719-302-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "AMANDA",
"middle_name": "RACHELLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN-9757",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MILLER",
"middle_name": "RACHELLE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.