NPIMap

Organization Active NPI

Jack W Miller DDS PA

  • Dental Clinic/Center
  • Wichita, KS
National Provider Identifier
1639345606
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5448 Issued in KS
Legal business name
JACK W MILLER DDS PA
Practice address
2203 Sweetbriar St
Wichita, KS 67204-5518
Phone
(316) 838-1300
Fax
(316) 838-1355
NPI assigned
Apr 30, 2008
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Jack W Miller, DDSNPI 1942288949
Title
Dentist
Phone
(316) 838-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5448 KS Primary

Addresses

Primary practice location

2203 Sweetbriar St
Wichita, KS 67204-5518

Mailing address

2203 Sweetbriar St
Wichita, KS 67204-5518
Phone (316) 838-1300

National Provider Directory

National Provider Directory

Locations

2203 N Sweetbriar St
Wichita, KS 67204
Phone (316) 838-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1639345606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 SWEETBRIAR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045518",
            "telephone_number": "316-838-1300",
            "fax_number": "316-838-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 SWEETBRIAR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045518",
            "telephone_number": "316-838-1300",
            "fax_number": "316-838-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK W MILLER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "316-838-1300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.