Individual provider Active NPI

J. Brad Miller, DDS

  • General Practice Dentistry
  • Iowa Falls, IA
National Provider Identifier
1609929264
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7993 Issued in IA
Practice address
701 Washington Ave
Iowa Falls, IA 50126-2100
Phone
(641) 648-4293
Fax
(641) 648-3784
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 7993 IA Primary

Addresses

Primary practice location

701 Washington Ave
Iowa Falls, IA 50126-2100

Mailing address

701 Washington Ave
Iowa Falls, IA 50126-2100
Phone (641) 648-4293

Other names 1

  • Dr. Jason Bradley Miller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7993IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Miles of Smiles Dental Group Current Accepting new patients

Locations

701 Washington Ave
Iowa Falls, IA 50126
Phone (641) 648-2586

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1609929264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WASHINGTON AVE",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501262100",
            "telephone_number": "641-648-4293",
            "fax_number": "641-648-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WASHINGTON AVE",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501262100",
            "telephone_number": "641-648-4293",
            "fax_number": "641-648-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "J.",
        "middle_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "MILLER",
            "middle_name": "BRADLEY",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Iowa Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.