Individual provider Active NPI

Joseph Andrew Miller, D.M.D.

  • General Practice Dentistry
  • Brandenburg, KY
National Provider Identifier
1326197948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7535 Issued in KY
Practice address
1120 High St
Brandenburg, KY 40108-1514
Phone
(270) 422-4921
Fax
(270) 422-3559
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7535 KY Primary

Addresses

Primary practice location

1120 High St
Brandenburg, KY 40108-1514

Mailing address

1120 High St
Brandenburg, KY 40108-1514
Phone (270) 422-4921

Other identifiers 1

IdentifierTypeStateIssuer
60004199MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20160222001365 KY Order and Referring Only - DentistPractitioner - Dentist 7517262025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7535KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326197948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HIGH ST",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081514",
            "telephone_number": "270-422-4921",
            "fax_number": "270-422-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HIGH ST",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081514",
            "telephone_number": "270-422-4921",
            "fax_number": "270-422-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60004199",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

Verify at the official NPI Registry.