Active NPI
S Murray Miller, DDS CAGS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hanover, MA
National Provider Identifier
1184840001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12082
- Practice address
- 1775 Washington Street
Hanover, MA 02339 - Phone
- (781) 826-8866
- Fax
- (781) 826-1474
- NPI assigned
- Apr 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12082 | MA | Primary |
Addresses
Primary practice location
1775 Washington Street
Hanover, MA 02339
Mailing address
34 Cottonwood Road
Newton Center, MA 02459-3112
Phone (617) 527-5965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0243639 | Other | MA | MASS HEALTH |
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 |
|---|---|---|---|
| 12082 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184840001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 COTTONWOOD ROAD",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024593112",
"telephone_number": "617-527-5965",
"fax_number": "617-332-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 WASHINGTON STREET",
"city": "HANOVER",
"state": "MA",
"postal_code": "02339",
"telephone_number": "781-826-8866",
"fax_number": "781-826-1474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "S",
"middle_name": "MURRAY",
"credential": "DDS CAGS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "12082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "0243639",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.