Active NPI
Keri L Miller, D.M.D.
- Pediatric Dentistry
- Montgomery, AL
National Provider Identifier
1689747263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5053
- Practice address
- 2600 Bell Rd
Montgomery, AL 36117-4375 - Phone
- (334) 277-6690
- Fax
- (334) 277-6721
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5053 | AL | Primary |
Addresses
Primary practice location
2600 Bell Rd
Montgomery, AL 36117-4375
Mailing address
1201 Chadwick LN
Montgomery, AL 36117-8962
Phone (334) 277-6690
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-23249 | Other | AL | BLUE CROSS BLUE SHIELD |
| 515-19481 | Other | AL | BLUE CROSS BLUE SHIELD |
| 1422090 | Other | AL | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5053 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles From US, PLLC | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- keri.miller@direct.baptistfirst.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Montgomery, AL
- NPI 1881861631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689747263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 CHADWICK LN",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178962",
"telephone_number": "334-277-6690",
"fax_number": "334-277-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 BELL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174375",
"telephone_number": "334-277-6690",
"fax_number": "334-277-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KERI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "5053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-23249",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-19481",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1422090",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.