Organization Active NPI

Miller Family Dentistry & Implants

  • General Practice Dentistry
  • Fairfield, IL
National Provider Identifier
1427718741
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MILLER FAMILY DENTISTRY & IMPLANTS
Practice address
301 NW 11TH St Ste 215
Fairfield, IL 62837-1269
Phone
(618) 842-7140
Fax
(618) 842-4028
NPI assigned
Dec 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Bryce L Miller, DMDNPI 1740697358
Title
Dr.
Phone
(618) 842-7140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

301 NW 11TH St Ste 215
Fairfield, IL 62837-1269

Mailing address

301 NW 11TH St Ste 215
Fairfield, IL 62837-1269
Phone (618) 842-7140

National Provider Directory

National Provider Directory

Locations

301 NW 11th St
Ste 215
Fairfield, IL 62837
Phone (618) 842-7140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1427718741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NW 11TH ST STE 215",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371269",
            "telephone_number": "618-842-7140",
            "fax_number": "618-842-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 11TH ST STE 215",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371269",
            "telephone_number": "618-842-7140",
            "fax_number": "618-842-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY DENTISTRY & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "618-842-7140",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.