Miles C. Humble, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9877 Issued in CO

Legal business name

MILES C. HUMBLE, LLC

Doing business as

Humble Family Dentistry

Practice address

202 E Cheyenne Mountain Blvd
Ste. E
Colorado Springs, CO 80906-3769

Phone

(719) 576-6551

Fax

(719) 576-8722

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jake Minnich, M.B.A

Title

Clinical Coordinator

Phone

(719) 576-6551

Specialties & licenses 1

Addresses

Other names 1

• Humble Family Dentistry Doing business as

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1427483486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD",
            "address_2": "STE. E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-576-6551",
            "fax_number": "719-576-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD",
            "address_2": "STE. E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-576-6551",
            "fax_number": "719-576-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES C. HUMBLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "719-576-6551",
        "authorized_official_credential": "M.B.A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humble Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulette Marie Miksch, ANP
• Elizabeth Mikus, DNP, FNP-C
• Milano Pizza & Italian Kitchen LLC
• Nancy Louise Milby
• Mile High Medical Transportation
• Alice Rain Miles
• Alisa Miles, R.EEG/EPT.,CNIM
• Jared Miles, PA-C
• Joe D Miles, O.D.
• John F. Mileski, OD

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.