Active NPI
Tom J Miller DDS PC
- General Practice Dentistry
- Bloomingdale, IL
National Provider Identifier
1619251014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019019146
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tom Joseph Miller, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Bloomingdale, IL
- NPI 1619918950
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.