Individual provider Active NPI

James A Miller, DDS

  • Dentist
  • Orrville, OH
National Provider Identifier
1376766915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11650 Issued in OH
Practice address
131 N Kohler Rd
Orrville, OH 44667
Phone
(330) 682-0244
Fax
(330) 682-0209
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 11650 OH Primary

Addresses

Primary practice location

131 N Kohler Rd
Orrville, OH 44667

Mailing address

131 N Kohler Rd
Orrville, OH 44667
Phone (330) 682-0244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 21, 2016 through May 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11650OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Edp of Ohio, PC Past Accepting new patients
Village Dental Orrville Betty J Qadri DDS LLC Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376766915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N KOHLER RD",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "44667",
            "telephone_number": "330-682-0244",
            "fax_number": "330-682-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N KOHLER RD",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "44667",
            "telephone_number": "330-682-0244",
            "fax_number": "330-682-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orrville, OH

Sources for this page

Verify at the official NPI Registry.