Todd D Miller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024781 Issued in IL

Practice address

190 Marquette PL S
Manteno, IL 60950-3721

Phone

(815) 468-3020

Fax

(815) 468-3292

NPI assigned

Oct 4, 2006

Last updated

Nov 8, 2017By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 18, 2016 through Apr 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premier Family Dental

  • General Practice Dentistry
  • Manteno, IL
  • NPI 1932089513
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1487749149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MARQUETTE PL S",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609503721",
            "telephone_number": "815-468-3020",
            "fax_number": "815-468-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MARQUETTE PL S",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609503721",
            "telephone_number": "815-468-3020",
            "fax_number": "815-468-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TODD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martins Ambulance Inc
• Arthur J Mattson, MSW
• Lance McCann, MAPC, CADC
• Madison Marie McCormick
• Metropolitan Eyecare Center of Manteno Inc
• Alyssa S Moravec, OTR/L
• Caitlin Marie Murray, LAT, ATC
• Megan Elizabeth Myers
• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
• Nexus Family Healing (Nexus-Indian Oaks Family Healing)

• General Practice Dentistry in Manteno, IL
• Providers in Manteno, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.