Michael W. Miller, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5245 Issued in KS

Legal business name

MICHAEL W. MILLER, DDS, PA

Practice address

428 Main Street
Rossville, KS 66533-0158

Phone

(785) 584-6101

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael MillerNPI 1184617037

Title

Owner

Phone

(785) 584-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Wayne Miller, DDS

  • General Practice Dentistry
  • Rossville, KS
  • NPI 1184617037
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326166224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 MAIN STREET",
            "city": "ROSSVILLE",
            "state": "KS",
            "postal_code": "665330158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 MAIN STREET",
            "city": "ROSSVILLE",
            "state": "KS",
            "postal_code": "665330158",
            "telephone_number": "785-584-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. MILLER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-584-6101"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "420774",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn L. Eaton, PTA
• Michelle Grutsch
• Hannah Hammer, COTA/L
• Lauren Mara Johnson, MS-SLP
• Tracy Lynn Kinderknecht, RN
• Michael Wayne Miller, DDS
• Perine Enterprises Inc. (Doug's Pharmacy LTC)
• Jason Perine, PHARM D
• Recover-Care Rossville LLC
• Rossville Family Dental, PA (Rossville Family Dental)

• General Practice Dentistry in Rossville, KS
• Providers in Rossville, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.