Active NPI
Jeffrey H. Miller, DDS.
- General Practice Dentistry
- St Louis Park, MN
National Provider Identifier
1174797476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7889
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447367644 | Other | MN | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- St. Louis Park, MN
- NPI 1447367644
-
- Dentist
- St Louis Park, MN
- NPI 1013202084
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.