Organization Active NPI

Miller Endodontic Advantage, PLLC

  • Endodontics
  • Minnetonka, MN
National Provider Identifier
1659029270
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MILLER ENDODONTIC ADVANTAGE, PLLC
Practice address
11601 Minnetonka Mills Rd Ste C10
Minnetonka, MN 55305-5170
Phone
(952) 938-3033
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Dr. Marcus Miller, DDSNPI 1780942144
Title
Owner Doctor
Phone
(651) 431-1045

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

11601 Minnetonka Mills Rd Ste C10
Minnetonka, MN 55305-5170

Mailing address

1515 Argonne LN
Alpharetta, GA 30004-7884
Phone (651) 431-1045

Other identifiers 1

IdentifierTypeStateIssuer
OPTIONALOtherOPTIONAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.stephensandsendodontics.com/contact-us Other

National Provider Directory

National Provider Directory

Locations

11601 Minnetonka Mills Rd
Ste C10
Minnetonka, MN 55305
Phone (952) 938-3033

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": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1659029270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ARGONNE LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047884",
            "telephone_number": "651-431-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 MINNETONKA MILLS RD STE C10",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055170",
            "telephone_number": "952-938-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER ENDODONTIC ADVANTAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "651-431-1045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIONAL",
            "identifier": "OPTIONAL",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.stephensandsendodontics.com/contact-us",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact Information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "11601 Minnetonka Mills Rd Ste C10",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553055170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.