Mark T. Miller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

99-375792-9921 Issued in UT

Practice address

307 N 300 W Ste 304
Kaysville, UT 84037-1852

Phone

(801) 544-4003

NPI assigned

Oct 9, 2008

Last updated

Oct 3, 2012By 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 1

Addresses

Other identifiers 1

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1427209329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N 300 W STE 304",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371852",
            "telephone_number": "801-544-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N 300 W STE 304",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371852",
            "telephone_number": "801-544-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "99-375792-9921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "870623840-00001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maeli Merrill, LMT, CFNS
• Ryan Merrill
• Michelle Murray Counseling LLC
• Jeffrey E Midgley, LAB
• Blake Henry Miles, FNP
• Camille Thea Miskin, LCSW
• Erin Mitchell, PHARMD
• Mod-Doc Inc
• Jocelyn Anne Montierth, MSN, APRN, AGPCNP-BC
• Nataliya Moon, NBC-HWC

• General Practice Dentistry in Kaysville, UT
• Providers in Kaysville, 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 Oct 3, 2012; 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.