Caryn Fern Miller, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI15174 Issued in NJ

Practice address

300 Main St
Chatham, NJ 07928-2413

Phone

(973) 635-4960

Fax

(973) 701-1686

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Caryn Miller,D.M.D LLC

  • Periodontics
  • Chatham, NJ
  • NPI 1285751941
  NPD (past) Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205889441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282413",
            "telephone_number": "973-635-4960",
            "fax_number": "973-701-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282413",
            "telephone_number": "973-635-4960",
            "fax_number": "973-701-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARYN",
        "middle_name": "FERN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI15174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara McMahon, PT
• Monica Wendella McPherson, RN, MSN, APNC
• Melissa Mecka
• Zain U Memon, MD
• Metropolitan Spine Institute Inc
• Mindful Medical Transport
• Adam Mitola
• Dina Mohamed
• Michael Roger Monfett, M.D.
• Madyson Mooney

• Periodontics in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Periodontics in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.