Individual provider Active NPI

Alyson Jeanine Miller, DDS

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1245964808
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38523 Issued in TX
Practice address
2702 Cornerstone Blvd
Edinburg, TX 78539-8327
Phone
(956) 686-5511
Fax
(956) 686-9955
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 38523 TX Primary

Addresses

Primary practice location

2702 Cornerstone Blvd
Edinburg, TX 78539-8327

Mailing address

2702 Cornerstone Blvd
Edinburg, TX 78539-8327
Phone (956) 686-5511

Other practice location 1

8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone (210) 450-3273

Other practice location 2

2918 Manchester Dr
Edinburg, TX 78539-0089
Phone (956) 286-2299

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
38523TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Red Square Dental & Orthodontics at Closner PLLC General Practice CurrentSince Jun 23, 2024 Accepting new patients
Red Square Dental General Practice PastSince Jun 23, 2024 Accepting new patients

Locations

2702 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 686-5511

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1245964808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398327",
            "telephone_number": "956-686-5511",
            "fax_number": "956-686-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398327",
            "telephone_number": "956-686-5511",
            "fax_number": "956-686-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "210-450-3273",
            "fax_number": "210-450-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2918 Manchester Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785390089",
            "country_code": "US",
            "telephone_number": "956-286-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALYSON",
        "middle_name": "JEANINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.