Clayton James Miller, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 21067 Issued in FL

Practice address

201 Maitland Ave
Suite 1013
Altamonte Springs, FL 32701-4903

Phone

(407) 834-0330

NPI assigned

Apr 26, 2010

Last updated

Apr 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1407173883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAITLAND AVE",
            "address_2": "SUITE 1013",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014903",
            "telephone_number": "407-834-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAITLAND AVE",
            "address_2": "SUITE 1013",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014903",
            "telephone_number": "407-834-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CLAYTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Migraine and Headache Center of Florida, LLC
• Angelica Elizabeth Mike
• German Mikheyev
• Milky Way Infant Wellness
• Paulino Milla-Orellana, M.D.
• Jeffrey Kenneth Miller, DPT, MOT
• Rochelle Miller
• Victoria R Miller, AP
• Abigail Mills
• Ashley Brooke Millstein, DMD

• General Practice Dentistry in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.