Jacob S Miller, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

L2901020673 Issued in MI

Legal business name

JACOB S MILLER, DDS, PLLC

Practice address

2730 5 Mile Rd NE
Suite #101
Grand Rapids, MI 49525-6518

Phone

(616) 364-7039

Fax

(616) 364-6068

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jacob S Miller, DDS

Title

President

Phone

(616) 901-9148

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joseph Hanks, DDS

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1306964374
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1689119414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 GRAN VIA DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419689",
            "telephone_number": "616-901-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 5 MILE RD NE",
            "address_2": "SUITE #101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256518",
            "telephone_number": "616-364-7039",
            "fax_number": "616-364-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB S MILLER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-901-9148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "L2901020673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Jayne Jackson
• Tamara T Jackson
• Tegan Jackson
• Veronica Ann Jackson
• Whitney Denise Jackson
• Chris Jacob, DO
• Frigga Ellen Fabay Jacob, MD
• Jemima Jacob
• Joseph Michael Porciuncula Jacob, MD
• Amy Michelle Jacobs

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.