Organization Active NPI

Jeffrey H. Miller, DDS.

  • General Practice Dentistry
  • St Louis Park, MN
National Provider Identifier
1174797476
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7889 Issued in MN
Legal business name
JEFFREY H. MILLER, DDS.
Practice address
3345 Dakota Ave S
St Louis Park, MN 55416-2039
Phone
(952) 929-9450
Fax
(952) 929-1095
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mrs. Karen Hatling
Title
Manager
Phone
(952) 929-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7889 MN Primary

Addresses

Primary practice location

3345 Dakota Ave S
St Louis Park, MN 55416-2039

Mailing address

3345 Dakota Ave S
St Louis Park, MN 55416-2039
Phone (952) 929-9450

Other identifiers 1

IdentifierTypeStateIssuer
1447367644OtherMNNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

3345 Dakota Ave S
St Louis Park, MN 55416
Phone (952) 929-9450

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1174797476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 DAKOTA AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162039",
            "telephone_number": "952-929-9450",
            "fax_number": "952-929-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 DAKOTA AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162039",
            "telephone_number": "952-929-9450",
            "fax_number": "952-929-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H. MILLER, DDS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "HATLING",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-929-9450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1447367644",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.