Bryce Miller

Primary specialty

DentistTaxonomy code 122300000X

License

019029913 Issued in IL

Practice address

325 E 13TH St
Mount Carmel, IL 62863-1836

Phone

(618) 263-6555

Fax

(618) 262-7423

NPI assigned

Jul 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

State licenses

Practice roles

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.

• Miller Family Dentistry & Implants

  • General Practice Dentistry
  • Fairfield, IL
  • NPI 1427718741
  NPD Authorized official
• David R Miller DDS PC

  • General Practice Dentistry
  • Mount Carmel, IL
  • NPI 1326653809
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1740697358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 13TH ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631836",
            "telephone_number": "618-263-6555",
            "fax_number": "618-262-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 13TH ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631836",
            "telephone_number": "618-263-6555",
            "fax_number": "618-262-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRYCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Mayhue
• William McAlister, MS, LAT, ATC
• Jessica Leigh McCall, LPTA
• Amber J McGinnis, LCPC
• Rachel Lynn Metz, PA-C
• David Ray Miller, DDS
• Norman A. Miller, M. S. LCPC.
• Rita Miller, RN
• Mt Carmel Eyecare
• Mt. Carmel Chiropractic Clinic, S.C.

• Dentist in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.