Jade Miller DDS Gilbert a Trujillo DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JADE MILLER DDS GILBERT A TRUJILLO DDS

Practice address

517 Hammill Lane
Reno, NV 89511

Phone

(775) 824-2323

Fax

(775) 824-2324

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jade Andrew Miller, DDS

Title

Owner Dentist

Phone

(775) 824-2323

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619039955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 HAMMILL LANE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-824-2323",
            "fax_number": "775-824-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 HAMMILL LANE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-824-2323",
            "fax_number": "775-824-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE MILLER DDS GILBERT A TRUJILLO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "775-824-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2216819",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2216801",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.