NPIMap

Organization Active NPI

Marissa L. Miller, DDS, Inc

  • General Practice Dentistry
  • Shelby, OH
National Provider Identifier
1649599937
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.022851 Issued in OH
Legal business name
MARISSA L. MILLER, DDS, INC
Practice address
100 W Main St
Shelby, OH 44875-1476
Phone
(417) 342-4217
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Ms. Marissa L Miller, DDS
Title
President
Phone
(419) 342-4217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.022851 OH Primary

Addresses

Primary practice location

100 W Main St
Shelby, OH 44875-1476

Mailing address

100 W Main St
Shelby, OH 44875-1476
Phone (417) 342-4217

National Provider Directory

National Provider Directory

Locations

100 W Main St
Shelby, OH 44875
Phone (417) 342-4217

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": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1649599937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751476",
            "telephone_number": "417-342-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751476",
            "telephone_number": "417-342-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA L. MILLER, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-342-4217",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.