NPIMap

Organization Active NPI

Katelyn C Miller DDS LLC

  • General Practice Dentistry
  • Sunbury, OH
National Provider Identifier
1386356863
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KATELYN C MILLER DDS LLC
Practice address
120 N Miller Dr Ste a
Sunbury, OH 43074-7651
Phone
(740) 936-3083
Fax
(740) 936-3683
NPI assigned
Dec 16, 2022
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. Katelyn Miller, DDSNPI 1841555687
Title
Owner
Phone
(740) 936-3083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

120 N Miller Dr Ste a
Sunbury, OH 43074-7651

Mailing address

120 N Miller Dr Ste a
Sunbury, OH 43074-7651
Phone (740) 936-3083

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@shinedentalsunbury.com Direct

National Provider Directory

National Provider Directory

Locations

120 N Miller Dr
Ste A
Sunbury, OH 43074
Phone (740) 936-3083

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1386356863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MILLER DR STE A",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430747651",
            "telephone_number": "740-936-3083",
            "fax_number": "740-936-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MILLER DR STE A",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430747651",
            "telephone_number": "740-936-3083",
            "fax_number": "740-936-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATELYN C MILLER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-936-3083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@shinedentalsunbury.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email message",
            "address_1": "120 N Miller Dr Ste A",
            "city": "Sunbury",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430747651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.