Active NPI
Miller Dental Health
- Pediatric Dentistry
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS0000007946
- Legal business name
- MILLER DENTAL HEALTH
- Practice address
- 4250 Faronia Rd
Memphis, TN 38116-6527 - Phone
- (901) 332-8893
- Fax
- (901) 332-8895
- NPI assigned
- Jul 22, 2011
- Last updated
- Jul 22, 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. Rodric Ledell Miller, D.D.S.
- Title
- President/Dentist
- Phone
- 90137375433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS0000007946 | TN | Primary |
Addresses
Primary practice location
4250 Faronia Rd
Memphis, TN 38116-6527
Mailing address
5124 Stage Rd
Suite C-2
Memphis, TN 38134-3164
Phone (901) 373-5433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1521792 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Miller Dental Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Memphis, TN
- NPI 1770880064
-
- Pediatric Dentistry
- Oakland, TN
- NPI 1932487089
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.
-
- Pediatric Dentistry
- Memphis, TN
- NPI 1194714014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311292800000",
"number": "1669750717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5124 STAGE RD",
"address_2": "SUITE C-2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343164",
"telephone_number": "901-373-5433",
"fax_number": "901-373-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 FARONIA RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381166527",
"telephone_number": "901-332-8893",
"fax_number": "901-332-8895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER DENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RODRIC",
"authorized_official_middle_name": "LEDELL",
"authorized_official_title_or_position": "PRESIDENT/DENTIST",
"authorized_official_telephone_number": "90137375433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "DS0000007946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521792",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.