Timothy J Miller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

061386 Issued in MI

Practice address

145 W Vienna St
Clio, MI 48420-1333

Phone

(810) 687-9700

NPI assigned

Nov 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clio Dental Center

  • General Practice Dentistry
  • Clio, MI
  • NPI 1891730487
  NPD (past) Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1609055151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201333",
            "telephone_number": "810-687-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201333",
            "telephone_number": "810-687-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "061386",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "4418480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4418480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Dental Sleep Center Inc
• Michigan Dental Sleep Center Inc
• Michigan Senior Mental Health Specialists LLC
• Craig Miler
• Dawn Michelle Miller, LMT, CLT
• Jodeelin Miner, LMT
• Jillian Marie Misekow
• Amanda Lynnette Mitchell, COTA
• Momentum Counseling, PLLC
• Olivia Morgan

• General Practice Dentistry in Clio, MI
• Providers in Clio, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.