Roarke Jake Miller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3948 Issued in ID

Practice address

270 S Ten Mile Rd Ste 100
Meridian, ID 83642-6100

Phone

(208) 906-6977

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sleep Right Idaho PLLC

  • General Practice Dentistry
  • Nampa, ID
  • NPI 1437660388
  NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1508816000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868482",
            "telephone_number": "208-466-2322",
            "fax_number": "208-465-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S TEN MILE RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426100",
            "telephone_number": "208-906-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROARKE",
        "middle_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S Miller, MD
• Kayla Miller, OT
• Khristine L. Miller, MD
• Mark R Miller, MD
• Nancy Norine Miller, NP
• Sarah Marie Miller, LPC, NCC
• Spencer Miller, MD
• Stephen J Miller, M.D.
• Leslie Milliken
• Denise A Mills, MD

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.