Joseph A Miller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59967 Issued in CA

Practice address

130 Crown Point CT
Grass Valley, CA 95945-9515

Phone

(530) 272-6752

Fax

(530) 272-8662

NPI assigned

Aug 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 20, 2020 through Jun 20, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1760615835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CROWN POINT CT",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459515",
            "telephone_number": "530-272-6752",
            "fax_number": "530-272-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CROWN POINT CT",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459515",
            "telephone_number": "530-272-6752",
            "fax_number": "530-272-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3406A Daly St",
            "address_purpose": "LOCATION",
            "city": "Twentynine Palms",
            "state": "CA",
            "postal_code": "922779467",
            "country_code": "US",
            "telephone_number": "858-842-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59967",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Miessler
• Mariya Milan, LMFT
• Shayne Millard
• Miller Family Medicine and Minor Trauma
• Angela Miller
• Kurt Miller, RD
• Walter Scott Miller, MD
• Karen L Milman, M.D.
• Kelly Miner-Gann
• Veronica S Minier, MD

• General Practice Dentistry in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.