NPIMap

Organization Active NPI

Laura Ann Miller

  • Dentist
  • Madison, CT
National Provider Identifier
1689069023
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
007660 Issued in CT
Legal business name
LAURA ANN MILLER
Practice address
141 Durham Rd
Suite 20
Madison, CT 06443-2676
Phone
(203) 245-9607
Fax
(203) 245-1217
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Laura Ann Miller Cozean, DDS
Title
Owner
Phone
(203) 245-9607

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 007660 CT Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

141 Durham Rd
Suite 20
Madison, CT 06443-2676

Mailing address

141 Durham Rd
Suite 20
Madison, CT 06443-2676
Phone (203) 245-9607

Other identifiers 1

IdentifierTypeStateIssuer
002076603MedicaidCT

Other names 1

  • We Create Smiles, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Laura Miller2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1689069023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DURHAM RD",
            "address_2": "SUITE 20",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432676",
            "telephone_number": "203-245-9607",
            "fax_number": "203-245-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DURHAM RD",
            "address_2": "SUITE 20",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432676",
            "telephone_number": "203-245-9607",
            "fax_number": "203-245-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA ANN MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "MILLER COZEAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-245-9607",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "007660",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002076603",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Create Smiles, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.