Individual provider Active NPI

Taylor Janea Miller, D.D.S.

  • Pediatric Dentistry
  • Omaha, NE
National Provider Identifier
1245645845
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D011164 Issued in AZ
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

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7202NEMDClinical Social Worker
6092ALMDDentist
DDS-09176IAMDDentist
D011164AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cade Hunzeker, DDS Pediatric Dentistry CurrentSince Sep 8, 2024 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.

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.

Verify at the official NPI Registry.