Collin Terrez Miller, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6708 Issued in LA

Practice address

2300 Airline Dr
Suite #200
Bossier City, LA 71111-1610

Phone

(318) 261-9438

NPI assigned

Aug 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1255886347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 AIRLINE DR",
            "address_2": "SUITE #200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111610",
            "telephone_number": "318-261-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 AIRLINE DR",
            "address_2": "SUITE #200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111610",
            "telephone_number": "318-261-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COLLIN",
        "middle_name": "TERREZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6708",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Marie Midkiff, FNP-C
• Scott Louis Mighell, MD
• Mildred Eual Center Inc (Meci)
• Coleettra Milhouse
• Angela C Miller, NP
• Jacquelyn Burge Miller, FNP
• Joey Miller
• Ramondria Miller
• Shankeshia Miller
• Vickie C Miller, L.P.C.L.M.F.T.,L.A.C

• Dentist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.