Samuel Andrew Miller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015292 Issued in MO

Practice address

2530 S Maiden LN
Ste. B
Joplin, MO 64804-0349

Phone

(417) 781-0317

Fax

(417) 781-0387

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225020381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 S MAIDEN LN",
            "address_2": "STE. B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040349",
            "telephone_number": "417-781-0317",
            "fax_number": "417-781-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S MAIDEN LN",
            "address_2": "STE. B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040349",
            "telephone_number": "417-781-0317",
            "fax_number": "417-781-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMUEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Miller
• Matthew David Miller, D.O.
• Melissa Miller, LPC
• Mindy Jane Miller, LCSW
• Nathan Allen Miller, D.O.
• Terry W Miller, CRNA
• Timothy D Miller, PTA
• Aaron Emmett Millerschultz
• Tarynne B Milliser
• Ezekiel Lee Mills, PHARMD

• General Practice Dentistry in Joplin, MO
• Providers in Joplin, MO by specialty
• General Practice Dentistry in Missouri

• 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; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.