Individual provider Active NPI

Megan Rochelle Miller, D.D.S

  • Dentist
  • Tacoma, WA
National Provider Identifier
1194809467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00009348 Issued in WA
Practice address
5038 Tacoma Mall Blvd
Suite a
Tacoma, WA 98409-7140
Phone
(253) 473-2166
Fax
(253) 473-2167
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00009348 WA Primary

Addresses

Primary practice location

5038 Tacoma Mall Blvd
Suite a
Tacoma, WA 98409-7140

Mailing address

5038 Tacoma Mall Blvd Ste a
Tacoma, WA 98409-7140
Phone (253) 473-2166

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

LicenseStateTypeSpecialty
DE00009348WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaurav Dudeja PLLC PastSince Feb 23, 2020 Accepting new patients
Kevin Xu D.D.S., M.S.,P.S., Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194809467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 TACOMA MALL BLVD STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097140",
            "telephone_number": "253-473-2166",
            "fax_number": "253-473-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 TACOMA MALL BLVD",
            "address_2": "SUITE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097140",
            "telephone_number": "253-473-2166",
            "fax_number": "253-473-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MEGAN",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

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.

Verify at the official NPI Registry.