Michael Jay Miller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2623 Issued in WV

Practice address

86A E Main St
Buckhannon, WV 26201-2733

Phone

(304) 472-8598

Fax

(304) 472-0651

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1740393636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86A E MAIN ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012733",
            "telephone_number": "304-472-8598",
            "fax_number": "304-472-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86A E MAIN ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012733",
            "telephone_number": "304-472-8598",
            "fax_number": "304-472-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136763000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Jane Mick
• Shanna Miles
• Jamie Marcus Miller, DO
• John Edwin Miller, R.PH
• Kimberly J Miller
• Miller'S Pharmacy
• Ashley Mills
• Christine Allison Mills
• John O Mills, DO
• Sheila Faye Minix

• General Practice Dentistry in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.