Organization Active NPI

Lisa Miller Oral Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Foley, AL
National Provider Identifier
1306214200
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
LISA MILLER ORAL FACIAL SURGERY
Practice address
301 W. Laurel Avenue
Foley, AL 36535-1920
Phone
(251) 320-3205
Fax
(251) 320-3204
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Lisa Miller, DMD/MD
Title
Oral Surgeon
Phone
(205) 789-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

301 W. Laurel Avenue
Foley, AL 36535-1920

Mailing address

301 W. Laurel Avenue
Foley, AL 36535-1920
Phone (251) 320-3205

Other identifiers 1

IdentifierTypeStateIssuer
177379MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1306214200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W. LAUREL AVENUE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351920",
            "telephone_number": "251-320-3205",
            "fax_number": "251-320-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W. LAUREL AVENUE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351920",
            "telephone_number": "251-320-3205",
            "fax_number": "251-320-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MILLER ORAL FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "205-789-5075",
        "authorized_official_credential": "DMD/MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177379",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.