Andrew Grant Miner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11353031-9921 Issued in UT

Practice address

476 W 800 N
Orem, UT 84057-3728

Phone

(801) 221-7615

NPI assigned

Jul 9, 2019

Last updated

Jan 13, 2023By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• DK1 PLLC

  dba Sundance Family Dental

  • Dental Clinic/Center
  • Orem, UT
  • NPI 1225765001
  NPD Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1417509530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573728",
            "telephone_number": "801-668-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573728",
            "telephone_number": "801-221-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "ANDREW",
        "middle_name": "GRANT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11353031-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly S Millett, MSWI
• Sarah Catherine Millington, DEM
• Blaine Glen Milne, DMD
• Mindful Cognitions LLC
• Mindfully Healing
• David Stuart Miranda, D.C.
• Kimberly Amy Miranda
• Sunit Kumar Misra, MD
• John Misrasi
• Courtney Elizabeth Mitchell

• General Practice Dentistry in Orem, UT
• Providers in Orem, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.