Active NPI
Richard J. Miller, DDS
- General Practice Dentistry
- Grants Pass, OR
National Provider Identifier
1508081266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8831
- Practice address
- 1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051 - Phone
- (541) 479-6393
- Fax
- (541) 471-1439
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8831 | OR | Primary |
Addresses
Primary practice location
1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Mailing address
1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone (541) 479-6393
Other practice location 1
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone (541) 592-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500616389 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Community Health Center, Inc. | Current | Accepting new patients | |
| Siskiyou Community Health Center, Inc | Current | Accepting new patients |
Locations
1701 NW Hawthorne Ave
Grants Pass, OR 97526
Phone (541) 471-3455
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Grants Pass, OR
- NPI 1427046903
-
- Federally Qualified Health Center (FQHC)
- Cave Junction, OR
- NPI 1669638417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1508081266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 NW HAWTHORNE AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261051",
"telephone_number": "541-479-6393",
"fax_number": "541-471-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 NW HAWTHORNE AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261051",
"telephone_number": "541-479-6393",
"fax_number": "541-471-1439"
}
],
"practiceLocations": [
{
"address_1": "25647 Redwood Hwy",
"address_purpose": "LOCATION",
"city": "Cave Junction",
"state": "OR",
"postal_code": "975239332",
"country_code": "US",
"telephone_number": "541-592-4111",
"fax_number": "541-471-1439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "RICHARD",
"middle_name": "J.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500616389",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.