Individual provider Active NPI

Johnny Lashon Miller, D.D.S.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1548585664
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014999 Issued in GA
Practice address
1035 14TH Ave N
Nashville, TN 37208-3050
Phone
(615) 327-9400
Fax
(615) 327-2806
NPI assigned
Mar 31, 2010
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN014999 GA Primary

Addresses

Primary practice location

1035 14TH Ave N
Nashville, TN 37208-3050

Mailing address

2785 Lawrenceville Hwy 103
Decatur, GA 30033-2515
Phone (770) 491-1132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20151229002390 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618279100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrenceville Hwy Dental Group General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1548585664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 LAWRENCEVILLE HWY 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332515",
            "telephone_number": "770-491-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 14TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083050",
            "telephone_number": "615-327-9400",
            "fax_number": "615-327-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHNNY",
        "middle_name": "LASHON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.