Jason Lee Miller, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9651 Issued in AZ

Practice address

10621 N 35TH Ave
Phoenix, AZ 85029-4260

Phone

(208) 251-5309

NPI assigned

Jun 23, 2013

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diamond Dental Globe LLC

  • Dentist
  • Globe, AZ
  • NPI 1578339743
  NPD Authorized official
• Metro Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1477819555
  NPD (past)

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1528407517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 SALMONBERRY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355078",
            "telephone_number": "208-251-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294260",
            "telephone_number": "208-251-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-23",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9684",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "9651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard J Miller, O.D.
• Isabel Victoria Miller, SLP
• Jacob Miller
• Jacob Roy Miller, O.D.
• Jacqueline A Miller, R.D.H.
• Jeffrey H Miller, M.D.
• Jeffrey James Miller
• Jennifer Catherine Miller, NNP
• Jessica Miller
• Julie Christine Miller, MA, LPC

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.