Active NPI
Stephen Andrew Miller, D.D.S.
- Public Health Dentistry
- Metropolis, IL
National Provider Identifier
1306820659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 19A13885
- Practice address
- 1128 Country Club Rd
Metropolis, IL 62960-2810 - Phone
- (618) 524-2386
- NPI assigned
- Nov 30, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 19A13885 | IL | Primary |
Addresses
Primary practice location
1128 Country Club Rd
Metropolis, IL 62960-2810
Mailing address
1128 Country Club Rd
Metropolis, IL 62960-2810
Phone (618) 524-2386
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19A13885 | IL | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306820659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 COUNTRY CLUB RD",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602810",
"telephone_number": "618-524-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 COUNTRY CLUB RD",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602810",
"telephone_number": "618-524-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "IL",
"license": "19A13885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metropolis, IL
- Metrolpolis Drugs II Inc
- Metropolis Dialysis Services, LLC (Fresenius Medical Care Metropolis)
- Metropolis Health Care Center,LLC (Metropolis Rehabilitation & Health Care Center)
- Michael J. & Beverly Hicks (Audiology Services)
- Lori Miller, P. T.
- Toni L Miller, MS LCPC
- Shawnie R Mitchell, RN BSN
- Zebulun New
- Robert Newman, EDS
- Next Step Therapy Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.