Active NPI
William Harrison Miller, DMD
- Dentist
- Tallahassee, FL
National Provider Identifier
1497315964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24109
- Practice address
- 1433 Piedmont Dr E
Tallahassee, FL 32308-7943 - Phone
- (850) 425-1300
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN24109 | FL | Primary |
Addresses
Primary practice location
1433 Piedmont Dr E
Tallahassee, FL 32308-7943
Mailing address
1433 Piedmont Dr E
Tallahassee, FL 32308-7943
Phone (850) 425-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24109 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental of Bulverde PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- San Antonio, TX
- NPI 1366814279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1497315964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 PIEDMONT DR E",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323087943",
"telephone_number": "850-425-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 PIEDMONT DR E",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323087943",
"telephone_number": "850-425-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WILLIAM",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.