Active NPI
Heather Jean Miller, DMP
- General Practice Dentistry
- Madison, CT
National Provider Identifier
1780791988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5701
- Practice address
- 10 Brookside Rd
Madison, CT 06443 - Phone
- (203) 245-0407
- Fax
- (203) 245-0408
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5701 | CT | Primary |
Addresses
Primary practice location
10 Brookside Rd
Madison, CT 06443
Mailing address
10 Brookside Rd
Madison, CT 06443
Phone (203) 245-0407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5701 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780791988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BROOKSIDE RD",
"city": "MADISON",
"state": "CT",
"postal_code": "06443",
"telephone_number": "203-245-0407",
"fax_number": "203-245-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BROOKSIDE RD",
"city": "MADISON",
"state": "CT",
"postal_code": "06443",
"telephone_number": "203-245-0407",
"fax_number": "203-245-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "HEATHER",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "5701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
- MHS Primary Care Inc
- MHS Primary Care Inc. (Midlesex Hospital Surgical Alliance)
- Michael Espelin Aprn LLC
- Michelle M Reynolds, PHD, LLC (LifeCatalyst)
- Emily Miesse, APRN
- Laura Miller, RN, IBCLC
- Laura A Miller, DDS
- Theresa Margaret Millet, LMFT
- Keith William Mirante, D.C.
- Jennifer Marie Mitchell, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.