Phillip Gregory Miller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12133 Issued in TX

Practice address

901 S Crockett Ave
Sonora, TX 76950-7837

Phone

(325) 387-2021

NPI assigned

Feb 14, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780727453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "SONORA",
            "state": "TX",
            "postal_code": "769500556",
            "telephone_number": "325-387-2659",
            "fax_number": "325-387-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S CROCKETT AVE",
            "city": "SONORA",
            "state": "TX",
            "postal_code": "769507837",
            "telephone_number": "325-387-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PHILLIP",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Alonso Hernandez, MSN, APRN, FNP-C
• Jim Bob Everett (Everetts Pharmacy Sonora)
• Paul Edward Jones
• KK & SS Healthcare Investments, LLC (Pharm House Drug - Sonora LLC)
• Brian James Midei, DDS
• Cynthia Ann Obus, PHARMD
• Charles Ray Pajestka, MD
• Kristina Jean Prater, FNP-C
• Julius Robert Romero, PT
• Rebecca Lynn Simmons-Rios, FNP

• General Practice Dentistry in Sonora, TX
• Providers in Sonora, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.