Stephanie Lynn Miner, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D11974 Issued in MN

Practice address

130 Pioneer TRL
Chaska, MN 55318-1167

Phone

(952) 361-3740

NPI assigned

Oct 12, 2006

Sex

Female

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 MN

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

Practice roles

Locations

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.

• Foundations Psa LLC

  • General Practice Dentistry
  • Chaska, MN
  • NPI 1275318628
  Medicare reassignment NPD Authorized official
• WLD Implants

  • Dentist
  • Chaska, MN
  • NPI 1972372423
  NPD Authorized official
• WLD2, LLC

  dba West Lakes Dentistry

  • Dental Clinic/Center
  • Chaska, MN
  • NPI 1699204172
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1750470068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SUNNYBROOK CIR",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553641276",
            "telephone_number": "612-387-5009",
            "fax_number": "612-392-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PIONEER TRL",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181167",
            "telephone_number": "952-361-3740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "West Lakes Dentistry",
            "address_2": "5205 Shoreline Drive",
            "address_purpose": "LOCATION",
            "city": "Mound",
            "state": "MN",
            "postal_code": "55364",
            "country_code": "US",
            "telephone_number": "952-472-7717",
            "fax_number": "612-392-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Jane Miles, P.T.
• Danielle Adair Miller
• Sara Miller, LPCC
• William Miller, M.D.
• Mind Matters Collective
• Minnesota Anesthesia Specialists PLLC
• Minnesota Oncology Hematology PA
• Jesse James Moline
• Lauren Moore, M.A.
• Samantha A Morgan-O'Rourke, LMFT

• Dentist in Chaska, MN
• Providers in Chaska, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.