Individual provider Active NPI

Amanda Leigh Miller, D.D.S.

  • General Practice Dentistry
  • Union City, MI
National Provider Identifier
1790163277
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021540 Issued in MI
Practice address
715 N Broadway St
Union City, MI 49094-1100
Phone
(517) 741-4565
NPI assigned
May 15, 2015
Last updated
Jun 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901021540 MI Primary

Addresses

Primary practice location

715 N Broadway St
Union City, MI 49094-1100

Mailing address

715 N Broadway St
Union City, MI 49094-1100
Phone (517) 741-4565

Other names 1

  • Miss Amanda Leigh Hupfer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161214000716 MI Order and Referring Only - DentistPractitioner - Dentist 9739469537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021540MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew C. Christopher DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1790163277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941100",
            "telephone_number": "517-741-4565",
            "fax_number": "517-741-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941100",
            "telephone_number": "517-741-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HUPFER",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union City, MI

Sources for this page

Verify at the official NPI Registry.