Paige Miller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6495 Issued in NE

Practice address

19103 Mason PLZ
Elkhorn, NE 68022-5659

Phone

(402) 933-0525

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shadow Ridge Dental

  • General Practice Dentistry
  • Elkhorn, NE
  • NPI 1073811014
  NPD (past)
• Summit Dental Associates

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1073783445
  NPD (past)
• Summit Dental Health - Center LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1275941734
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1649254897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19103 MASON PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225659",
            "telephone_number": "402-933-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19103 MASON PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225659",
            "telephone_number": "402-933-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAIGE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47071268402",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "4971",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hawariat Yohannes Mikeso
• Angela Louise Miller
• Jarad Miller, PT
• Kari Miller, LCSW, LMHP, LCP
• Kristina Miller
• Tino Miller, PLMHP
• Anthony Robert Milone, PTA
• Mia Minor
• Kristina Minturn
• Taylor Miranda

• General Practice Dentistry in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.