Active NPI
George Keith Miller, DMD
- Dentist
- West Chester, OH
National Provider Identifier
1710043674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5935
- Practice address
- 9464 Civic Centre Boulevard
Suite 300
West Chester, OH 45069-9998 - Phone
- (513) 777-7883
- Fax
- (513) 755-1604
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30020011 | OH | |
| Dentist | 122300000X | 5935 | KY | Primary |
Addresses
Primary practice location
9464 Civic Centre Boulevard
Suite 300
West Chester, OH 45069-9998
Mailing address
9464 Civic Centre Boulevard
Suite 300
West Chester, OH 45069
Phone (513) 777-7883
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 |
|---|---|---|---|
| 5935 | KY | MD | Dentist |
| 30020011 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1710043674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9464 CIVIC CENTRE BOULEVARD",
"address_2": "SUITE 300",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069",
"telephone_number": "513-777-7883",
"fax_number": "513-755-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9464 CIVIC CENTRE BOULEVARD",
"address_2": "SUITE 300",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450699998",
"telephone_number": "513-777-7883",
"fax_number": "513-755-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GEORGE",
"middle_name": "KEITH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30020011",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.