Trevor Dwayne Miller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8418 Issued in OR

Practice address

2107 57TH St
Sacramento, CA 95817-1713

Phone

(916) 425-6230

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1407840226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171713",
            "telephone_number": "916-425-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171713",
            "telephone_number": "916-425-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TREVOR",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan B. Miller, PHARMD
• Tara Miller
• Taya Miller, LCSW
• Teresa Ann Miller, PHARM.D.
• Thomas Matthew Miller, M.D.
• Trevor John Miller
• Tyler Jade Miller
• Valerie Frances Miller, LVN
• Vicky Miller, CNM
• Sean Millet

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.