Johnny R Miller DMD Family Dentistry Inc

Primary specialty

DentistTaxonomy code 122300000X

License

TN6874 Issued in TN

Legal business name

JOHNNY R MILLER DMD FAMILY DENTISTRY INC

Practice address

1209 Russell St
Union City, TN 38261

Phone

(731) 885-0851

Fax

(731) 885-0895

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Johnny R Miller, DMDNPI 1235305806

Title

President

Phone

(731) 885-0851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny R Miller, DMD

  • Dentist
  • Union City, TN
  • NPI 1235305806
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407900970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 RUSSELL ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "38261",
            "telephone_number": "731-885-0851",
            "fax_number": "731-885-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 RUSSELL ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "38261",
            "telephone_number": "731-885-0851",
            "fax_number": "731-885-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY R MILLER DMD FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-885-0851",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "TN6874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammeth Lynn James, RD
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• Alicia Nicole Jernigan, FNP-C
• Thomas W Jernigan III, M.D.
• Denise Ritchie Johnson, PT
• Dominque Lynnea Johnson, LPN
• Cynthia Denise Jones, PTA
• Pamela Marie Jones, R.N.
• Robert B Jordan, OD

• Dentist in Union City, TN
• Providers in Union City, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.