Michael Mark Miner, D.M.D., M.P.H.

Primary specialty

DentistTaxonomy code 122300000X

License

18850 Issued in MA

Practice address

15 Amelia Dr
Nantucket, MA 02554-6063

Phone

(508) 325-0583

Fax

(508) 325-6734

NPI assigned

May 29, 2007

Last updated

Mar 8, 2011By the provider in NPPES

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

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 3, 2016 through May 3, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Accessible Dental PC

  • General Practice Dentistry
  • Nantucket, MA
  • NPI 1780848598
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1417158346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMELIA DR",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025546063",
            "telephone_number": "508-325-0583",
            "fax_number": "508-325-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AMELIA DR",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025546063",
            "telephone_number": "508-325-0583",
            "fax_number": "508-325-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "MICHAEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "18850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Stirlen McLean
• Paula McQuaid, P.T., M.T., C.S.T.
• Michelle Meckler, LMHC
• Michelle Meckler, Ma, LMHC, Professional Counselor / Therapist LLC
• Mary Helen Michetti, LMHC
• Kathleen Anna Minihan, RD
• Michael Mofsen
• Raymond Rocco Monto, M.D.
• Carly Adelaide Moris
• Cyndi Morrison

• Dentist in Nantucket, MA
• Providers in Nantucket, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.