NPIMap

Organization Active NPI

Randall a. Miller, DDS, PC

Doing business as Randall A. Miller, DDS & David R. Blank, DDS

  • General Practice Dentistry
  • Burlington, VT
National Provider Identifier
1174728976
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
954 Issued in VT
Legal business name
RANDALL A. MILLER, DDS, PC
Doing business as
Randall A. Miller, DDS & David R. Blank, DDS
Practice address
66 Colchester Ave
Burlington, VT 05401
Phone
(802) 862-8348
Fax
(802) 862-6823
NPI assigned
Jun 20, 2007
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. Randall Armand Miller, DDSNPI 1255417473
Title
Owner/Dentist
Phone
(802) 862-8348

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
General Practice Dentistry 1223G0001X 954 VT Primary

Addresses

Primary practice location

66 Colchester Ave
Burlington, VT 05401

Mailing address

66 Colchester Ave
Burlington, VT 05401
Phone (802) 862-8348

Other identifiers 1

IdentifierTypeStateIssuer
1223G0001XMedicaidVT

Other names 1

  • Randall A. Miller, DDS & David R. Blank, DDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1174728976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-862-8348",
            "fax_number": "802-862-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-862-8348",
            "fax_number": "802-862-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL A. MILLER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "ARMAND",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "802-862-8348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223G0001X",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randall A. Miller, DDS & David R. Blank, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.