Organization Active NPI

Tom J Miller DDS PC

  • General Practice Dentistry
  • Bloomingdale, IL
National Provider Identifier
1619251014
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019019146 Issued in IL
Legal business name
TOM J MILLER DDS PC
Practice address
231 S Gary Ave
#107
Bloomingdale, IL 60108-2234
Phone
(630) 980-4988
Fax
(630) 980-1375
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Tom Joseph Miller, DDSNPI 1619918950
Title
Dentist
Phone
(630) 980-4988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019019146 IL Primary

Addresses

Primary practice location

231 S Gary Ave
#107
Bloomingdale, IL 60108-2234

Mailing address

150 S Bloomingdale Rd
#200
Bloomingdale, IL 60108-1493
Phone (630) 980-4988

National Provider Directory

National Provider Directory

Locations

231 S Gary Ave
Ste 107
Bloomingdale, IL 60108
Phone (630) 980-4988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1619251014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S BLOOMINGDALE RD",
            "address_2": "#200",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081493",
            "telephone_number": "630-980-4988",
            "fax_number": "630-980-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S GARY AVE",
            "address_2": "#107",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082234",
            "telephone_number": "630-980-4988",
            "fax_number": "630-980-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM J MILLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-980-4988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.