Dennis Raymond Miller, DMD MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DD1987 Issued in NM

Practice address

2401 E 30TH St
BLDG 1
Farmington, NM 87401-8986

Phone

(505) 326-6567

NPI assigned

Aug 31, 2006

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285746347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 30TH ST",
            "address_2": "BLDG 1",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018986",
            "telephone_number": "505-326-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 30TH ST",
            "address_2": "BLDG 1",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018986",
            "telephone_number": "505-326-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DENNIS",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NM",
            "license": "DD1987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Miera
• Paul A Mikkelson, M.D.
• Emily Louise Militzer, M.D.
• Anne Holmes Miller, RN, CNM, MS
• Carol W Miller
• Dorene Miller
• Jared Drew Miller, PA-C
• Jaylene Miller
• Judy Angela Miller, DO
• Kathleen M Miller, LPCC

• All providers in Farmington, NM
• Periodontics in New Mexico

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

Verify at the official NPI Registry.