Valley View Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

D11490 Issued in MN

Legal business name

VALLEY VIEW DENTAL INC

Practice address

1302 Marshall St
St Peter, MN 56082

Phone

(507) 934-3332

Fax

(507) 934-3336

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer R Miller, DDSNPI 1871544940

Title

Owner

Phone

(507) 934-3332

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rose Miller, DDS

  • Dentist
  • St. Peter, MN
  • NPI 1871544940
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1447426010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MARSHALL ST",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-934-3332",
            "fax_number": "507-934-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MARSHALL ST",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-934-3332",
            "fax_number": "507-934-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-934-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886473000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA LICENSE NUMBER DENTAL",
            "identifier": "D11490",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Todd-Bense, MSW, LICSW
• Kathryn Lousie Trunk
• Twin Cities Hospitalists LLC
• Charles Todd Uhler, D.C.
• Erika Lynn Urban, CPM, LM
• Victoria Varland, MSW, LGSW
• Nicole Lynn Veith
• Jacob Todd Veness
• Jessica Rae Waldron, MA, LMFT
• Cassandra Walters, PHARMD

• Dentist in St Peter, MN
• Providers in St Peter, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.