Active NPI
Taylor Janea Miller, D.D.S.
- Pediatric Dentistry
- Omaha, NE
National Provider Identifier
1245645845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D011164
- Practice address
- 2430 S 179TH St
Omaha, NE 68130-2687 - Phone
- (402) 330-1131
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6092 | AL | |
| Dentist | 122300000X | 7202 | NE | |
| Dentist | 122300000X | DDS-09176 | IA | |
| Pediatric Dentistry | 1223P0221X | D011164 | AZ | Primary |
Addresses
Primary practice location
2430 S 179TH St
Omaha, NE 68130-2687
Mailing address
3631 N 129TH St
Omaha, NE 68164-5211
Phone (402) 493-8320
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 |
|---|---|---|---|
| 7202 | NE | MD | Clinical Social Worker |
| 6092 | AL | MD | Dentist |
| DDS-09176 | IA | MD | Dentist |
| D011164 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cade Hunzeker, DDS | Pediatric Dentistry | Current | Accepting new patients |
| Dudzinski Dental Corp. | Past | Accepting new patients |
Locations
2430 S 179th St
Omaha, NE 68130
Phone (402) 330-1131
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.
-
- Pediatric Dentistry
- Omaha, NE
- NPI 1326826967
-
- General Practice Dentistry
- Omaha, NE
- NPI 1962795179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1245645845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645211",
"telephone_number": "402-493-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 S 179TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302687",
"telephone_number": "402-330-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TAYLOR",
"middle_name": "JANEA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6092",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7202",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-09176",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D011164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.