Brent Sydney Miller, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00203275 Issued in CO

Practice address

1921 Sheridan Blvd Unit F
Edgewater, CO 80214-1315

Phone

(303) 202-3550

NPI assigned

Jul 15, 2017

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 CO

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.

• Edgewater Modern Dentistry and Orthodontics, LLP

  dba Edgewater Modern Dentistry and Orthodontics

  • General Practice Dentistry
  • Edgewater, CO
  • NPI 1780962589
  NPD (past)
• Highlands Dentists, LLP

  dba Highlands Dentists

  • General Practice Dentistry
  • Denver, CO
  • NPI 1124498167
  NPD (past)

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740702299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 LARIMER ST APT 1509",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SHERIDAN BLVD UNIT F",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141315",
            "telephone_number": "303-202-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3380 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802111910",
            "country_code": "US",
            "telephone_number": "303-458-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRENT",
        "middle_name": "SYDNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Le, DDS
• Michael E Long, PHARMD
• Alexis Marella
• Cassandra MC Namara, PHARM.D.
• Sydney McKinney, LSW
• Maureen Murphy
• Caitlyn Nass, MPPD RD
• Selena Ann Papaconstantinou, LCSW
• Michela Parisi
• Leah Parker

• Dentist in Edgewater, CO
• Providers in Edgewater, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.